Shared Visits / Criteria for split_shared visit between physician and NPP

Why This Topic Matters

Split/shared billing can affect which provider bills a visit and whether the service is considered compliant under Medicare rules. Understanding the scope of allowed settings, excluded services, and the relationship to incident-to concepts helps reduce claim errors and policy confusion.

Article Sections

1. Definitions

   Defines the main split/shared concept, the type of practitioner involved, and the general idea of a substantive portion of an evaluation and management visit.

2. Official source citations

   Lists the Medicare manual source and referenced sections used as background for the article.

3. Allowed settings

   Summarizes the broad site-of-service categories where the topic may apply and notes the relationship to incident-to billing in an office or clinic setting.

4. Excluded settings/ services

   Identifies categories of settings and services that are outside the scope of the article’s split/shared discussion.

5. General requirements

   Describes the overarching conditions tied to medical necessity, scope of practice, and provider relationship.