decisionhealth Newsletters, Part B News - 2010 Issue 4 (April)
CMS reaffirms you can bill split-shared services in lieu of consultation codes
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Article Overview
This article discusses CMS clarification on split-shared billing in the context of the elimination of consultation codes and how providers should think about office, outpatient, and inpatient E/M services under current guidance. It is useful for physicians, non-physician practitioners, coders, and billing staff who need to understand the high-level policy update, carrier commentary, and where to look for additional Medicare guidance.
Why This Topic Matters
The article addresses a point of confusion created by CMS messaging and explains the broader billing context affecting E/M reporting for services that were once billed as consultations. It matters to organizations that bill Medicare and need to align documentation and billing workflows with CMS and MAC guidance.
What You Will Learn
- How CMS clarified split-shared billing in relation to services previously reported as consultations.
- Which broad E/M settings were discussed in the CMS and MAC guidance.
- Where the article points readers for additional Medicare billing guidance.
- How carrier-specific clarification fits into the broader CMS policy context.
Who Should Read This
- Physicians
- Non-physician practitioners
- Medical coders
- Medical billers
- Practice administrators
- Compliance staff
Codes Discussed
Code Ranges Discussed
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