decisionhealth Newsletters, Part B News - 2023 Issue 8 (August)
Practices mull compensation shake-ups even as split/shared change waits
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Article Overview
This article examines how CMS’s delayed transition related to split/shared visits is influencing compensation planning for physicians and advanced practice providers in facility-based settings. It is aimed at healthcare administrators, physician leaders, compliance staff, and billing/coding professionals who need to understand the broader operational and financial implications of split/shared billing policy changes. The article covers strategic preparation, compensation model options, documentation and revenue considerations, and the need to align any changes with applicable payment and billing requirements.
Why This Topic Matters
Organizations that rely on split/shared services may need to reassess compensation, productivity measurement, and team-based care arrangements before CMS finalizes future changes. Understanding the planning issues can help practices reduce disruption, support collaboration, and stay aligned with billing and compensation rules.
Article Sections
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Billing
Introduces the CMS policy timing issue and the broader billing and compensation context for split/shared services.
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Investigate how split/shared impacts your practice
Explains the need to review how split/shared services affect different providers, specialties, and practice operations before making compensation changes.
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Understand why change might be necessary
Discusses the regulatory background and the need to prepare physicians and APPs for potential future policy shifts and documentation changes.
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Consider your compensation options
Outlines broad categories of compensation approaches practices may evaluate as they respond to changing split/shared policy and productivity measurement.
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Keep an eye on other rules
Notes that compensation decisions must also align with broader legal and billing requirements governing provider pay and reimbursement.
What You Will Learn
- How delayed split/shared policy changes may affect practice planning
- Why practices are reviewing physician and APP compensation structures
- What kinds of operational and billing considerations are involved in team-based care
- Why compliance with broader provider payment rules remains important
Who Should Read This
- Healthcare administrators
- Physician practice managers
- Compliance professionals
- Billing and coding staff
- Physicians
- Advanced practice providers
Modifiers Discussed
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