PODCAST | Submitting Split/Shared Visits for Reimbursement

Zach Hartsell, Principal – APP Workforce Practice – featured in BESLER’s Hospital Finance Podcast to discuss changes to split/shared visit attribution

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Every year, the Centers for Medicare & Medicaid Services incorporate changes in policy, regulations, and requirements for billing under the Medicare Physician Fee Schedule (PFS). These changes are often adopted by commercial payers. On November 2, 2021, CMS released the final rule for the 2022 PFS. The final rule went into effect on January 1, 2022, and includes some important considerations related to the conditions for submitting split-shared visits for reimbursement. These changes have the potential to alter the existing workflow of physicians and advanced practice providers related to billing split-shared encounters. To help explain the impact of these changes, this episode includes:
  • The definition of a split/shared visit
  • Insight into the 2022 changes as well as those coming in 2023
  • Explanation of specific activities that CMS has identified
  • Case-based examples

Looking for additional insight on the changes to the Physician Fee Schedule regarding Split/Shared Visits?

We’ve recently published some content that may be of interest to you. ARTICLE Physician Fee Schedule: Understanding Changes to Split/Shared Visits INFOGRAPHIC Split/Shared Visits:  Impact and Opportunity

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