decisionhealth Newsletters, Part B News - 2022 Issue 1 (January)
Split/shared billing: 4 steps to ease adoption this year – and next
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Article Overview
This article explains how practices can prepare for Medicare’s updated split/shared billing rules affecting encounters involving physicians and non-physician practitioners. It focuses on the general areas of guideline review, documentation review, Medicare contractor guidance, and the near-term shift in policy that makes the topic important for billing, coding, and compliance teams.
Why This Topic Matters
The policy changes described affect how facilities and practices document and report shared encounters, so understanding the scope of the update can help reduce denials, audit risk, and documentation problems. It is especially relevant for organizations that bill evaluation and management services and other split/shared encounters under Medicare.
What You Will Learn
- How the article frames the transition to updated Medicare split/shared billing policy
- Why documentation review is emphasized for affected encounters
- How Medicare contractor guidance fits into practice preparation
- Why the article highlights the short-term and longer-term policy timeline
Who Should Read This
- Physicians
- Non-physician practitioners
- Medical coders
- Billing staff
- Compliance staff
- Practice administrators
Codes Discussed
Code Ranges Discussed
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