Medicare Compliance & Reimbursement - 2004 Issue 35
Shared Visits: Save The 'Shared Visits' Rule For The Hospital Ward
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Article Overview
This article discusses Medicare shared visit policies and why they are generally not useful in the office setting. It is aimed at physicians, non-physician practitioners, and coding/billing staff who need to understand the relationship between shared visits, incident-to billing, and office-based evaluation and management reporting. The article also touches on practical compliance concerns involving physician and non-physician practitioner roles and related state-law limitations.
Why This Topic Matters
Accurate understanding of shared visit rules affects how office evaluation and management services are reported and whether billing practices align with Medicare guidance and office compliance requirements.
What You Will Learn
- How shared visit guidance is positioned in relation to office-based evaluation and management services.
- How shared visit concepts interact with incident-to billing concepts in an office practice.
- Why physician and non-physician practitioner roles matter for compliance in shared visit situations.
- What types of office scenarios are discussed as problematic or limited under the guidance.
Who Should Read This
- Physicians
- Nurse practitioners
- Physician assistants
- Medical coders
- Medical billers
- Practice managers
- Compliance staff
Codes Discussed
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