decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 7 (July)
It's best for your physicians to perform part of exam in “shared visit”
Subscribe or sign in to view the full article.
Article Overview
This article discusses Medicare guidance on hospital shared visits performed by physicians and non-physician practitioners (NPPs). It focuses on documentation and billing attribution issues, why physician face-to-face involvement matters, and how practices can protect reimbursement when a visit is not truly shared. The content is relevant to physicians, coders, billers, and compliance staff who handle hospital E/M services.
Why This Topic Matters
Shared-visit billing can affect whether a service is billed under a physician or an NPP, so documentation practices directly impact claim submission and payment integrity.
Article Sections
-
Medicare shared-visit guidance
Summarizes the Medicare manual guidance addressing shared hospital E/M services performed by physicians and NPPs from the same group practice.
-
Documentation and billing implications
Explains how documentation of physician participation affects billing attribution and what to consider when the physician does not see the patient face to face.
-
Practical documentation considerations
Discusses practical ways to support evidence of physician involvement in a shared visit and the general handling of cases where the physician does not participate in person.
What You Will Learn
- How Medicare describes shared hospital visits between physicians and NPPs.
- Why documentation of physician participation is important for billing attribution.
- What general documentation considerations practices should keep in mind for hospital E/M encounters.
- How billing responsibility is affected when the physician does not have face-to-face involvement.
Who Should Read This
- Physicians
- Non-physician practitioners
- Medical coders
- Medical billers
- Compliance staff
- Practice administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com