tci E/M Coding Alert - 2016 Issue 9

Case Study: Use This Advice to Check Your Shared/Split Visit Claims

Make sure physicians understand documentation guidelines. When you are considering coding an E/M service as split/shared, you must make sure that the providers include notes in the medical record confirming this fact. Additionally, the physician must write a link to the nonphysician practitioner’s (NPP’s) note. Consider this case study from Cynthia A. Swanson RN, CPC, CEMC, CHC, CPMA, senior manager of healthcare consulting for Seim Johnson in Omaha, Neb. In it, she gives a detailed description of a split/shared visit, along with suggestions for documenting the encounter: It’s Tuesday at the local hospital. A PA rounds...

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