Wiki Split Billing

[ellistneal]

Will someone please tell me the guideline for split billing with a physician and a physician assistant? I have no experience with this and one of the physicians are asking about this. I need to explain how this can be done.

 

[csperoni]

Split billing applies to inpatient visits. When both a physician and ACP provide inpatient E&M services the same day, it is billed under the clinician who provided the substantive portion of the visit, or greater than 50% of the time.

E/M: Service-Specific Coding: Split/Shared Billing

www.novitas-solutions.com

https://www.facs.org/for-medical-professionals/practice-management/coding-and-billing/em-coding-billing/split-shared-codes/

https://www.mgma.com/articles/new-cms-rule-on-split-shared-encounters-set-to-be-delayed-until-2024

https://www.todayshospitalist.com/split-visit-billing-new-rules-physicians-nps-pas/

https://www.aapc.com/blog/84486-updates-clarify-medicare-split-shared-billing/

It was expected to change in 2024 to be based only by which provider spent > 50% of time, but it will likely again be delayed.

 

[ellistneal]

Thank you. This is great information.