tci ED Coding & Reimbursement Alert - 2008 Issue 9

Meet These Rules to Code for NPP Assisting MD on Shared Visit Encounters

Get $25 more on shared 99285 claims You don't have to forfeit $25 for an NPP's role in a level-five ED E/M provided the encounter meets shared visit guidelines. There is no incident-to billing in a hospital setting, says Mary Falbo, CPC, president of Millennium Healthcare Consulting Inc. in Lansdale, Pa. "But shared/split visit billing is an option." Shared visit billing allows you to bill for services that the ED physician and a qualified nonphysician practitioner (NPP) provide jointly. If the encounter meets shared visit guidelines, you-ll be able to report the entire visit under the physician's National...

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