Non-Physician Practitioner Report: 2 examples of when it's okay to bill an E/M as a shared visit

Why This Topic Matters

Shared-visit billing affects who may report the service, how the claim is submitted, and whether the practice receives full or reduced Medicare payment. Understanding the distinction helps support compliant billing and reduce denial risk.

Article Sections

1. Shared-visit billing scenario

   Introduces a hospital-based encounter involving a non-physician practitioner and a physician on the same calendar day. Explains that the article is focused on whether the service may be reported as a shared visit.

2. CMS guidance and examples

   Summarizes Medicare Claims Processing Manual guidance on shared visits in office and hospital settings. Notes that the article discusses examples of situations in which a shared visit may be reported.

3. Documentation and compliance considerations

   Discusses the need for documented participation by both clinicians and common documentation practices. Also contrasts shared-visit concepts with related billing scenarios that should not be confused with them.

4. Payment and alternative reporting options

   Covers general payment implications when the service is reported under the non-physician practitioner versus under the physician. Mentions the article’s discussion of unlisted E/M reporting when no other CPT description applies.