decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 11 (November)
Medicare’s split/shared service rules don’t apply to residents
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Article Overview
This article is a Medicare-focused coding and compliance brief for physicians, coders, and billing staff working with teaching physician services and shared evaluation and management reporting. It explains the relationship between split/shared service policy, resident participation, and broader rules for physician-to-physician sharing of E/M work in office and hospital settings. The discussion is centered on policy distinctions and general reporting considerations rather than detailed code selection guidance.
Why This Topic Matters
Understanding these policy boundaries helps prevent misapplication of split/shared E/M rules in teaching environments and supports more accurate reporting when multiple physicians contribute to the same patient encounter.
What You Will Learn
- How Medicare distinguishes split/shared E/M policy from teaching physician rules
- How resident participation is treated within teaching physician services
- How physician-to-physician shared E/M work is generally handled in office and hospital settings
- Why same-specialty group billing considerations matter for shared encounters
Who Should Read This
- Physician coders
- Medical billing staff
- Compliance professionals
- Teaching physicians
- Residency program administrators
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