tci ED Coding & Reimbursement Alert - 2011 Issue 3

NPP Coding: Get Physician's Face Time On Record to Ensure Shared Coding Success

Medicare will let the duo 'team up' to provide certain services.ED coders that don't recognize every shared (or split) visit that the physician and qualified nonphysician practitioner (NPP) provide are costing their EDs money -- potentially a lot of money.Breakdown: Billing appropriate split/shared visits means that you may be able to code the E/M service under the physician's National Provider Identifier (NPI), which will garner the ED full reimbursement for each code.Alternative: You bill under the NPP's NPI even when you can use the physician's, which results in 85 percent reimbursement. Consider the payout for 99283...

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