Understanding E/M: Doing the splits – MDM offers more flexibility for split/shared visits

Why This Topic Matters

Split/shared visit documentation can affect which practitioner reports the service and how the encounter is supported. The article helps readers understand the general policy context for MDM-based E/M selection without relying on time-based reporting alone.

Article Sections

1. Scenario and questions about a split/shared visit

   Introduces a facility-based encounter scenario and the reader’s questions about split/shared billing and medical decision-making. The section frames the documentation and service-relationship issues discussed in the article.

2. Answer and discussion of MDM-based flexibility

   Summarizes the response to the questions and explains the general policy context for considering work from another date in relation to MDM. It also references the role of CPT and Medicare guidance in split/shared E/M services.

3. Review the substantive portion rules

   Highlights the need to determine the substantive portion of a split/shared visit and notes the factors used for level-based E/M services. The section focuses on the broader review and accountability framework for the encounter.