decisionhealth Newsletters, Part B News - 2021 Issue 11 (November)
Split/shared for critical care: Focus on timekeeping, activity tracking, modifiers
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Article Overview
This article covers CMS guidance on split/shared billing for critical care services beginning in 2022. It is aimed at coders, billers, compliance staff, and clinicians who handle shared encounters between physicians and non-physician practitioners. The discussion focuses on broad documentation expectations, timekeeping concepts, activity tracking, and the possible addition of modifiers in certain claim scenarios.
Why This Topic Matters
Critical care split/shared billing affects how shared encounters are documented and reported, so understanding the guidance helps practices reduce claim errors and stay aligned with CMS policy changes.
What You Will Learn
- How CMS split/shared billing applies to critical care encounters
- What kinds of activities may be considered in time-based reporting
- Why documentation and signature requirements remain important
- When modifiers may be relevant in split/shared critical care claims
- How critical care split/shared guidance differs from facility-based split/shared visits
Who Should Read This
- Medical coders
- Medical billers
- Compliance professionals
- Physicians
- Non-physician practitioners
- Practice managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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