NPP Report: Document physician face-to-face time to back split/shared billing

Why This Topic Matters

Split/shared billing can affect reimbursement and compliance risk when physician documentation does not support the billing method used. Understanding the article helps readers assess whether their hospital service documentation practices align with carrier scrutiny and Medicare expectations.

Article Sections

1. Split/shared hospital billing trends and carrier concern

   Explains the broader billing context for hospital services and notes why carriers are paying closer attention to split/shared claims.

2. Carrier guidance and documentation expectations

   Summarizes guidance from a Medicare carrier and describes the general documentation issue involving physician participation in split/shared services.

3. Examples of documentation viewed as insufficient

   Presents sample documentation patterns discussed by the carrier as potential compliance concerns for split/shared billing.

4. Compliance commentary and practical reminder

   Includes a compliance professional’s general reminder about documenting physician-patient interaction to support the record.