Wiki Split Shared Visits

[lswindull]

I am looking for guidelines on billing for split/shared visits with a MD and NPPA. Specifically, does the claim need to reflect the MD as the rendering provider, or MD as supervising and NPPA as rendering?

 

[mitchellde]

More information is needed to be able to address your question. Some people have a different definition of split/ shared encounter, so I want to b sure I am understanding the specifics of your encounter.

 

[thomas7331]

The guidelines can be found in the Medicare Claims Processing Manual, Chapter 12, section 30.6.1, link below. The rules differ depending on place of service.

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf