Physician Fee Schedule: CMS widens scope of split/shared policy, firms up billing rules

Why This Topic Matters

These policy changes affect which practitioner reports a split/shared service, how facility E/M visits are documented, and how practices prepare for the transition to the 2023 billing model. Accurate understanding is important for compliance, staff training, and revenue cycle planning.

Article Sections

1. CMS final rule overview

   Summarizes the major policy changes finalized for the 2022 Medicare physician fee schedule and the general transition timeline.

2. Calculating substantive portion

   Explains the two approaches described for determining the substantive portion of a split/shared visit and the related documentation focus.

3. Time-based billing and documentation

   Covers the timing approach, documentation expectations, and how time is tracked for facility split/shared services.

4. Time-based billing could free physician time

   Discusses practical implications of the time-based approach, including circumstances affecting provider participation and workflow.

5. Tread carefully through two challenging areas

   Addresses the temporary transition period, training considerations, and implementation concerns highlighted by the article.