tci E/M Coding Alert - 2020 Issue Q4

Reader Questions: Understand Split/Shared to Receive Full Reimbursement

Question: Can qualified advanced practice providers (APPs) “split” a service with a physician for Medicare patients. I heard some other coders discussing the practice the other day. How can APPs and physicians “split” visits? And how would you bill for split visits? Wisconsin Subscriber Answer: A split/shared visit involves two providers and a patient. During a split/shared visit, the physician and a qualified APP each perform a substantive portion of an E/M service for the same patient on the same date of service in certain sites of service (hospital inpatient/hospital outpatient or emergency department). Shared services in...

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