How to Compliantly Report Split/Shared Services in 2024
Dec 20, 2023
60 Mins
Toni Elhoms
Split/shared services are one of the most misunderstood categories of billing and reporting. For evaluation and management (E/M) visits jointly furnished by a physician and NPP in the same group practice in a facility setting, CMS has historically allowed the visit to be billed under the physician's NPI. However, all of that changed in 2022 and 2023 (transitional years) with updated rules that disallowed this practice and required the visit to be billed under the NPI of the physician or NPP who either documents the history, exam, or medical-decision-making for the visit OR whoever provides more than 50% of the total service time. In 2024, the changes are even more drastic, now requiring the visit to be billed under the NPI of the individual who provides more than 50% of the total visit time. This changes everything about how these encounters are billed and dramatically impacts physician RVU allocation. The 2024 split/shared service updates will have a massive impact on providers' clinical documentation and reimbursement rates.
Join us for this information-packed webinar by Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer, and take a deeper dive into the 2024 split/shared service updates along with the discussion on the proper application of the 2024 guidelines, clinical documentation requirements, and dissect clinical documentation scenarios to map out how this will look for medical practices in 2024.
The session aims to provide insights into the new 2024 split/shared visit rules in the facility setting, as announced by the Centers for Medicare & Medicaid Services (CMS). These groundbreaking changes are set to have a substantial impact on Medicare reimbursement, affecting both hospital-employed providers and physician practices utilizing non-physician practitioners (NPPs) in the facility setting.
Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer is a nationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). With over a decade of industry experience, she has led and supported hospital systems, universities, physician practices, payers, government agencies, and other entities on coding, billing, and compliance initiatives. She is a frequent contributor to various media outlets, speaker, and regular guest on industry podcasts. She created the Alpha Coding Podcast series to share her industry Pro-Tips. She also leads and mentors a network of revenue cycle management professionals across the country and serves as the President of the Orlando, FL AAPC Chapter.
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