tci Part B Insider - 2003 Issue 25

Inpatient Shared Visits: Policy Flip-Flop Leaves Physicians Confused

Shared-visits rule has important differences to incident-to It's been a year since the Centers for Medicare & Medicaid Services said physicians can bill for E/M services they shared with nonphysician practitioners, and still some coders are confused.   The change, issued last October in Transmittal 1776, reversed a policy that had stated "incident-to billing" wasn't allowed in the inpatient setting. "When a hospital inpatient/hospital outpatient or emergency department E/M is shared between a physician and an NPP from the same group practice and the physician provides any face-to-face portion of the E/M encounter with the patient, the service may...

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