decisionhealth Newsletters, Coder Pink Sheets - 2022 Issue 1 (January)
Understanding E/M: Split/shared implementation: 4 steps will ease adoption this year and next
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Article Overview
This article discusses Medicare policy changes affecting split/shared services in facility settings and critical care, with emphasis on how practices can prepare operationally and administratively. It is aimed at coders, billers, compliance staff, and practice leaders who need to understand the broad documentation and implementation issues tied to E/M reporting, Medicare contractor guidance, and the transition to future billing requirements.
Why This Topic Matters
Split/shared billing rules can affect documentation workflows, claim accuracy, and audit risk. Understanding the broad areas covered in this article can help practices assess whether they need to review current E/M processes, educate staff, and monitor Medicare guidance.
Article Sections
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Guideline review and preparation
Introduces the policy change and explains why practices are being encouraged to study the applicable guidance before billing under the new approach.
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Reviewing E/M documentation practices
Discusses the importance of evaluating existing E/M records and sampling split/shared encounters across different care settings.
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Medicare contractor guidance
Summarizes the role of Medicare administrative contractor FAQs and other contractor-level updates in shaping implementation.
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Long-range policy planning
Covers the forward-looking impact of the policy and the need to prepare for future documentation and billing changes.
What You Will Learn
- How the article frames Medicare’s split/shared policy update
- Why documentation review is emphasized for E/M reporting
- What role Medicare contractor guidance plays in implementation
- Why practices are encouraged to plan for future policy changes
Who Should Read This
- Medical coders
- Billers
- Compliance staff
- Practice managers
- Physician billing staff
Codes Discussed
Code Ranges Discussed
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