decisionhealth Newsletters, Part B News - 2022 Issue 1 (January)
Train staff on CMS, AMA split/shared policies
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Article Overview
This article is a training-oriented overview for coders and clinical staff on split/shared evaluation and management visit policies. It focuses on how CPT guidance and CMS rules differ across care settings, why those differences matter for compliance and claim accuracy, and where official CMS reference material fits into the workflow. The piece is intended to help practices recognize the general policy landscape without replacing the full premium guidance.
Why This Topic Matters
Split/shared E/M billing can vary by setting and payer framework, so understanding the relevant policy source is important for avoiding denials, overpayment issues, and inconsistent billing practices.
What You Will Learn
- The general concept of split/shared evaluation and management visits
- How policy sources differ between CPT guidance and CMS rules
- Which care settings are addressed by each policy framework
- Why training staff on split/shared policies can improve billing compliance
Who Should Read This
- Coders
- Clinical staff
- Billing staff
- Practice administrators
Code Ranges Discussed
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