decisionhealth Newsletters, Part B News - 2021 Issue 7 (July)
CMS designs drastic changes to its split/shared policy
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Article Overview
This article explains CMS’s proposed redesign of split/shared visit policy for Medicare facility-based evaluation and management services. It focuses on how the proposal would affect hospital-based billing workflows, practitioner time accounting, recordkeeping, modifier use, and related policy questions for physicians and qualified health care professionals. The piece is aimed at coders, billers, compliance staff, and healthcare organizations tracking Medicare physician fee schedule updates.
Why This Topic Matters
The proposal could significantly change how split/shared visits are documented, attributed, and reported in facility settings, which may affect billing operations and compliance processes.
Article Sections
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Billing
Introduces the Medicare split/shared visit topic and frames the proposed policy changes in relation to current hospital-based billing practices.
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Early reaction hints at pushback
Summarizes early stakeholder reactions and discusses concerns raised about the proposed approach and its operational impact.
What You Will Learn
- The general scope of CMS’s proposed split/shared visit policy changes
- Which facility-based settings are affected at a high level
- How the article frames time-based billing, documentation, and attribution issues
- What broader policy questions CMS is seeking comment on
- How industry stakeholders are reacting to the proposal
Who Should Read This
- Medical coders
- Medical billers
- Compliance professionals
- Hospital revenue cycle teams
- Physician practice administrators
- Healthcare consultants
Modifiers Discussed
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