tci E/M Coding Alert - 2016 Issue 9

Dual-Provider Coding: Learn These 3 Keys to Separate Incident-To, Split Visits

POS can be vital when making the coding decision. When a physician and a nonphysician practitioner (NPP) — also known as mid-level providers (MLP) or advanced practice providers (APP) — work together to perform an E/M service, it might be an incident-to service. It also might be a split/shared visit, and knowing the differences between the two is vital. Why?If you don’t code for incident-to or split/shared visits when you could, you’ll leave deserved reimbursement in the payer’s purse. Further, misusing either of these coding features risks raising suspicion in claims processing departments. Follow these...

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