The definition of a split/shared visit has been a topic of significant discussion over the past several years. CMS/Medicare had specific points that the CPT Guidelines did not address, such as whether the two practitioners needed to be in the same group, if the billing provider had to perform the substantive portion of the visit, and what locations split/shared visits were allowed. There were separate rules or guidelines for these services between a physician and a nurse practitioner or physician assistant.

In 2024, CPT redefined split/shared visits with clearer guidelines and CMS/Medicare announced that they would follow these updated CPT Guidelines. Additionally, CMS/Medicare mandated the use of the FT modifier for all these visits. Recently, CMS/Medicare provided the Medicare Administrative Contractors with additional guidance on these visits, which may prompt you to re-evaluate how your practice performs and documents these shared visits.

Are you aware of these changes? Join us for this information-packed webinar with industry expert Toni Elhoms to gain a comprehensive understanding of the changes, stay informed, and ensure compliance.

Webinar Objectives

The objective of this webinar is to provide participants with the most current and comprehensive information regarding split/shared visits. While CMS/Medicare has indicated adherence to CPT guidelines, significant variations and defined differences still exist. In instances where CPT guidelines are silent, CMS/Medicare has established specific opinions. Additionally, various MACs (Medicare Administrative Contractors) have posted differing information on their websites regarding this topic.

This session aims to deliver a clear definition and practical guidance on the documentation requirements and best practices for split/shared visits.

Webinar Agenda

• Understanding Split/Shared Visits
  • Definition and Importance of Split/Shared Visits
  • Historical Context and Evolution of Guidelines
• CPT Guidelines for 2024
  • Detailed Overview of the 2024 CPT Definition
  • Key Changes Introduced in 2024
  • Practical Implications for Practitioners
• CMS/Medicare Guidelines for 2024
  • CMS/Medicare's Adherence to CPT Guidelines
  • Clarifications and Specifics from CMS
  • Understanding the FT Modifier: Definition and Application
• Critical Care Visits
  • Differentiating Critical Care Visits from Other Split/Shared Visits
  • Unique Considerations and Guidelines for Critical Care
• Areas of Discrepancy and CMS Opinions
  • Instances Where CPT Guidelines Are Silent
  • CMS/Medicare's Specific Opinions and Guidelines
  • Examples of Differing Information from Various MACs
•  Practical Applications
  • Implementing Guidelines in Outpatient Settings
  • Implementing Guidelines in Inpatient Settings
  • Best Practices for Documentation and Compliance
• Section 7: Case Studies and Examples
  • Real-World Scenarios of Split/Shared Visits
  • Common Pitfalls and How to Avoid Them
• Section 8: Q&A Session
  • Open Floor for Participant Questions
  • Expert Answers and Clarifications by Toni Elhoms
• Conclusion:
  • Recap of Key Points
  • Additional Resources and References
  • Closing Remarks

Webinar Highlights

• What changes did the AMA make to CPT guidelines for split/shared visits in 2024
  • For visits
  • For Critical Care visits
• CMS Medicare
  • From the Federal register on the 2024 PFS Final Rule\
  • What are CMS/Medicare guidelines for Split shared
  • What are the differences from CPT
• Practical application of split shared rules in an outpatient and in patient setting

Who Should Attend

Coders, Billers, Office Managers, Office Administrators, Practice Administrators, Nurse Practitioners, Physician Assistants, Physicians