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Practice Management Alert

Reader Questions:

Don't Overlook Shared Visit Billing for Inpatients

Published on Sun May 23, 2010

Question: I know I cannot bill services incident-to in the hospital setting. Is there any other option to capture the most value from time a nonphysician practitioner (NPP) spent with a patient?Answer: Yes, you can bill split/shared E/M services in the hospital setting under the doctor's National Provider Identifier (NPI).The catch: The physician must provide a substantive portion of the service. This definition comes from the Medicare carrier First Coast: A split/shared visit is a medically necessary encounter with a patient where the physician and a qualified non-physician practitioner (NPP) each performs a substantive portion of the evaluation and management (E/M) visit, face-toface with the same patient on the same date of service.A substantive portion of an E/M visit involves all or some portion of the history, examination, and medical decision making components of the E/M service. Simply signing off on the NPP's note does not meet the criteria for [...]
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