Split/Shared Visits: Understanding the impact and opportunity of the 2023 Physician Fee Schedule Changes


ARTICLE | 2022 Physician Fee Schedule Changes 

On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) released the final rule for the 2022 Physician Fee Schedule with updates related to split/shared visits that have the potential to alter the existing workflows of physicians and advanced practice providers (APPs) related to billing for these encounters. The changes are effective on January 1, 2022, and January 1, 2023, and are meant to improve patient access, reduce redundancy, and better recognize the roles of advanced practice providers on care delivery teams.

The 2022 modifications allow providers to utilize either time-based accounting or traditional split/shared medical decision-making methodologies. In addition, providers can now use these visits for critical care services and require that a new billing modifier be added for all shared visits.

In 2023, split/shared visits can only be submitted using a time-based accounting methodology – which is described by as the “practitioner who provides the substantive portion of the visit (more than half of the total time spent) would bill or the visit.”

Learn more about the current rules related to split/shared visits.


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