tci E/M Coding Alert - 2016 Issue 6

Reader Question: Learn Split/Shared Visit Rules to Avoid Pay Cuts

Question: I’ve heard nurse practitioners (NPs) and other providers talk about “splitting” a service with a physician for Medicare patients. How can NPs and physicians “split” visits? And how would you bill for “split” visits? Hawaii Subscriber Answer: A split/shared visit involves two providers and a patient. During a split/shared visit, the physician and a qualified nonphysician practitioner (NPP) each perform a substantive portion of an evaluation and management (E/M) service for the same patient on the same date of service. You can only report split visits on E/M codes; the split visit exception doesn&rsquo...

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