Medicare Physician Fee Schedule: Know the Facts on CY 2023 Split/Shared Billing Proposals

Why This Topic Matters

The proposed delay affects how split/shared visits may be reported in Medicare facility settings and may influence practice workflows, documentation review, and internal compliance planning. It is relevant to organizations tracking Medicare payment policy changes and upcoming E/M updates.

Article Sections

1. Overview of the proposed delay

   Introduces the CMS proposal to delay split/shared billing policy changes in the CY 2023 MPFS proposed rule. Frames the issue as a timing and implementation update within Medicare policy.

2. Who can bill for split/shared visits

   Describes the general concept of split/shared billing in facility settings and identifies the categories of clinicians involved. Summarizes the article’s discussion of the provider types recognized by CMS.

3. Recap the changes to split/shared billing

   Reviews the prior finalized policy timeline and the phased-in approach discussed in the article. Explains that the section focuses on the progression of the policy across calendar years.

4. Why did CMS change its mind?

   Presents CMS’s stated reasons for proposing the delay, including alignment with upcoming E/M updates and the need for additional stakeholder feedback. Also notes commentary and reactions referenced by the article.