NPP Report: You can now bill consultations as a split/shared service

Why This Topic Matters

The topic matters because it affects how consultation scenarios are represented in billing workflows, which can influence reimbursement, staffing utilization, and documentation practices for organizations that bill Medicare E/M services.

Article Sections

1. Policy update and reimbursement impact

   Overview of the CMS-related change and its effect on billing consultation scenarios within E/M services. The section places the update in the context of reimbursement differences and prior reporting practices.

2. Split/shared billing and non-physician practitioner workflow

   General discussion of how split/shared services are used in practice and how non-physician practitioners may fit into those workflows. The section also addresses the role of physician collaboration and Medicare billing under different provider identifiers.

3. Office setting documentation and incident-to context

   Summary of office-setting considerations tied to split/shared reporting and related documentation expectations. The section notes the relationship to incident-to concepts and practice documentation emphasis.

4. Example revenue impact analysis

   Illustrative discussion of how a practice may experience changes in reimbursement when consultation-like encounters are billed under different approaches. The section uses a revenue comparison to frame the operational impact.

5. CMS FAQ guidance and related resources

   Reference to CMS guidance and supporting resources cited by the article. The section points readers toward additional materials that discuss the broader policy context.