decisionhealth Newsletters, Answer Books - 2009 Issue 6 (June)
Shared Visits / What Medicare says about shared EM visits_Tips to help you sort through the rules
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Article Overview
This article explains Medicare’s general approach to shared or split evaluation and management visits and how those services are handled in different care settings. It is intended for coders, billing staff, and compliance professionals who need a high-level understanding of shared-visit reporting, the distinction between office/clinic and inpatient scenarios, and related Medicare concepts referenced by the article.
Why This Topic Matters
Shared-visit billing can affect claim submission, payment amount, and whether a service is reported under a physician or nonphysician practitioner. Understanding the Medicare framework helps reduce billing errors and supports compliant charge capture.
What You Will Learn
- How Medicare distinguishes shared evaluation and management visits in different settings
- The role of physician and nonphysician practitioner participation in shared visits
- How incident-to concepts relate to office and clinic reporting
- General considerations for shared visits in inpatient care
Who Should Read This
- Medical coders
- Billers and revenue cycle staff
- Compliance professionals
- Physician practices
- Hospital outpatient and inpatient coding staff
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