decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 10 (October)
How to bill for shared services
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Article Overview
This article discusses Medicare guidance on billing shared services when a physician and a non-physician practitioner both participate in a patient encounter. It is aimed at coders, billers, compliance staff, and practice managers who need to understand the documentation and billing framework for hospital inpatient, hospital outpatient, and emergency department evaluation and management services, as well as the distinction from office-based billing arrangements. The article also points readers to a CMS manual reference for further guidance.
Why This Topic Matters
Understanding the general shared-services framework helps practices align documentation and billing processes with Medicare policy and avoid filing claims under the wrong provider relationship or setting.
What You Will Learn
- How shared services are discussed in a hospital-based Medicare billing context
- Which types of settings the article addresses
- How the article contrasts shared services with office-based billing arrangements
- What kinds of documentation themes are emphasized for physician and non-physician practitioner participation
- Where the article directs readers for official CMS guidance
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Physician practice managers
- Revenue cycle professionals
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