decisionhealth Newsletters, Part B News - 2017 Issue 2 (February)
Exert caution when reporting shared visits for prolonged care services
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Article Overview
This article discusses how Medicare policy applies to split/shared visits involving prolonged care services. It is aimed at coders, billers, compliance staff, and clinicians who need to understand the general policy framework, documentation expectations, and the special caution surrounding prolonged services in office and other settings.
Why This Topic Matters
Accurate reporting of prolonged care encounters can affect compliance and reimbursement. The article helps readers understand the broader Medicare guidance and documentation issues that influence whether a shared visit can be reported.
Article Sections
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Coding
Introduces the topic and frames the discussion around shared visits, prolonged care services, and Medicare policy considerations.
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Teasing out accurate policy
Summarizes the policy sources and documentation themes used to interpret prolonged service reporting in shared visit situations.
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Unlikely shared visits apply to 99358-99359
Addresses the more uncertain area involving non-face-to-face prolonged service reporting and the lack of clear Medicare guidance.
What You Will Learn
- How Medicare policy frames split/shared visits in prolonged care settings
- What types of documentation themes are emphasized for prolonged services
- Why non-face-to-face prolonged service reporting requires extra caution
- Which general settings and provider types are discussed in relation to shared visits
Who Should Read This
- Medical coders
- Medical billers
- Compliance professionals
- Physicians
- Qualified non-physician practitioners
- Practice managers
Codes Discussed
Code Ranges Discussed
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