Practice Management Alert

Inpatient Billing:

Capture Split/Shared Visit Payments By Following 3 Simple Rules

Tip: Don't let Medicare's 2010 consultation changes alter your split visit billing.When your physician provides services in the hospital, he may opt to share the work with a non-physician practitioner (NPP) to maximize his time. If you don't know when you can bill those services as split/shared visits, you're costing your physician 15 percent every time. Make sure you're bringing in every dollar by learning these three split/shared visit guidelines.1. Learn When to Apply Shared Visit RulesSplit/shared rules come into play when one of your physicians and a qualified nonphysician practitioner (NPP), such as a physician assistant, both see a patient face to face in the hospital where incident-to rules are not applicable. Each provider performs a distinct part of an E/M service.If the encounter meets shared visit guidelines, you'll be able to report the entire visit under your physician's National Provider Identifier (NPI) " thereby garnering 15 percent more [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Practice Management Alert

View All