Split Attestation For Free

Split/shared visits no longer guarantee the higher physician level reimbursement but will be dependent on who is providing the most substantive portion of the visit. By 2023, all split/shared notes must include a documented element of time spent by each practitioner.

CMS is no longer allowing shared services in an office setting, although incident-to services in the office are still allowed. Specifically, office and other outpatient codes 99202?99215 can be billed as shared services in a facility setting, that is, an outpatient department.

Beginning January 1, 2023, the physician or practitioner who spent the substantive portion will bill for the primary E/M visit and the prolonged service code(s) when the service is furnished as a split or shared visit, if all other requirements to bill for split or shared services are met.

A: In 2023, practitioners who furnish split/shared evaluation and management (E/M) services may bill based on a key component (history, physical exam, or MDM) or time. In 2024, practitioners will use total time to determine who furnished the substantive portion of the visit unless CMS changes the date or the guidance.

Documentation in the medical record must identify the two individual practitioners who performed the split/shared visit. In addition, the individual who performed the substantive portion, and therefore bills the visit, must sign and date the medical record.

When Congress passed its year-end omnibus legislation in the final days of 2022, it included a 2% Medicare physician payment cut for 2023. As a result, the Centers for Medicare and Medicare Services (CMS) updated the 2023 conversion factor to $33.8872 for 2023.

Physicians often use the term "attestation" to refer to any kind of statement they insert into a progress note for an encounter involving work by a resident, non-physician practitioner (NPP), or scribe.

A split/shared E/M visit is defined by Medicare Part B payment policy as a medically necessary encounter with a patient where the physician and a qualified NPP each personally perform a substantive portion of an E/M visit face-to-face with the same patient on the same date of service.

Services that can be reported as shared or split Specifically, office and other outpatient codes 9920299215 can be billed as shared services in a facility setting, that is, an outpatient department. Inpatient hospital services, observation services and emergency department visits can also be billed as shared services.

Consults are also on the list of services for which you can't bill a shared/split visit but that's only the case when billing insurers that still recognize consult codes. Medicare, as you know, no longer recognizes those codes.