CMS extends its split/shared exception for facility-based visits

Why This Topic Matters

The policy change affects how facility-based split/shared visits are reported and how organizations prepare for operational and compliance changes. It also highlights the distinction between CMS policy and CPT guidance, which can affect training, billing workflows, and future coding updates.

Article Sections

1. Split/shared policy timing update

   This section discusses the revised effective date for CMS’s split/shared policy in the context of facility-based visits and the prior timeline changes mentioned in the rulemaking process.

2. Retention of key components confused commenters

   This section addresses public comments about how CMS treated key components of a visit and explains the broader context of the policy update.

3. New definitions could be in the works

   This section covers the relationship between CMS split/shared policy and CPT guidance, along with the possibility of future review and rulemaking.