E/M Coding:
Look to NPI Choice for Split/Shared Signature Requirements
Published on Wed Mar 25, 2026
Question: In our facility, a nurse practitioner (NP) works in tandem with a physician, and sometimes they split/share services during an encounter. Can either the NP or the physician sign the record/documentation of the service? South Carolina Subscriber Answer: Medicare Administrative Contractor (MAC) Palmetto GBA says that documentation in such a situation can be signed by either the nonphysician practitioner [...]