DecisionHealth, DecisionHealth - 2023 Issue 10 (October)
Q&A: Split visits in the office should follow incident-to rules
Question: I recently read that practices can use CMS’ model for split/shared visits in the facility setting to report joint or collaborative visits in the office (99202-99215).
Here’s a sample scenario:
The medical assistant rooms the patient, gets vitals and does medication reconciliation. The physician assistant (PA) sees the patient first and performs the history and exam and creates her assessment.
The physician enters and reviews the PA’s history and exam and gives her own assessment. The physician and PA agree on the plan.
I don’t think this can be reported as a joint visit and my Medicare administrative contractor (MAC) says the incident-to rules apply to these visits. Can you shed some light on how we should bill these services?
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