Noridian allows multiple same-day E/M visits for multispecialty NPPs

Why This Topic Matters

The update may affect how multispecialty practices document and submit claims for certain E/M services, especially when multiple same-day encounters involve different specialties or separate clinical problems. It also highlights that the policy is jurisdiction-specific and not a general national change.

Article Sections

1. Billing

   Overview of the Noridian policy update and the billing context for nonphysician practitioners in multispecialty practices.

2. Policy details and affected E/M services

   General explanation of the service categories and visit types referenced in the notice, along with the effective date and practice impact.

3. Example and appeal context

   A general example illustrating how the policy may affect claim processing in a multispecialty setting and the mention of appeal review.

4. Jurisdiction and implementation notes

   Information about Noridian’s service area and the article’s reminder about applying local billing guidance outside that jurisdiction.