1

Deconstructing the 2023 Split/Shared Services Updates

Recorded Webinar | Toni Elhoms | From: Oct 26, 2022 - To: Dec 31, 2022
Description

Split/Shared services are one of the most misunderstood categories of billing and reporting for medical practices and providers. 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. All of that changed in 2022 with updated rules that disallowed this practice and required the visit to be billed under the NPI of the physician or NPP who either document the history, exam, or medical-decision-making for the visit OR whoever provides more than 50% of the total service time. In 2023, the changes are even more drastic, now requiring the visit to be billed under the NPI of the individual who providers more than 50% of the total visit time. This changes everything! The 2023 split/shared service updates will have a massive impact on providers’ clinical documentation and reimbursement rates. In today’s webinar, we take a deeper dive into the 2023 split/shared service updates and discuss the proper application of the 2023 guidelines, and clinical documentation requirements, and dissect clinical documentation scenarios to map out how this will look for medical practices in 2023.

Areas Covered:-

  • Discuss the key 2023 Split/Shared Service Updates
  • Review appropriate billing and reporting protocols
  • Dissect the proper NPI submission for split/shared services
  • Outline the new clinical documentation requirements for split/shared services
  • Highlight workflows and roles affected by the Split/Shared Service Updates
  • Discuss financial impacts of the Split/Shared Service Updates
  • Walk through various split/shared service case studies to determine proper billing and reporting
  • Share best practice tips for Split/Shared Services in 2023

Learning Objectives: -

  • Understand the 2023 Split/Shared Service Updates
  • Recall the appropriate billing and reporting protocols for 2023 Split/Shared Service Updates
  • Recall new clinical documentation requirements for 2023 Split/Shared Service Updates
  • Understand the financial impacts of 2023 Split/Shared Service Updates
  • Understand the workflows and roles affected by the 2023 Split/Shared Service Updates
  • Recall best practice Split/Shared Services billing tips

Background: -

The Centers for Medicare & Medicaid Services (CMS) announced new rules for 2023 split/shared visits in the facility setting. These new rules could significantly impact Medicare reimbursement for physician practices that use non-physician practitioners (NPPs) in the facility setting.

Why should you Attend:-

Most medical practices that see patients in the facility setting have NPPs perform initial rounding in the hospital followed by a physician briefly seeing the patient on the same date of service. Prior to 2022 updates, medical practices would bill these split/shared services under the physician’s NPI and collect 100% of the Medicare Physician Fee Schedule (MPFS) rate. With the changes in 2023 impacting billing methodology, it is unlikely that the total time spent by the physician will exceed the NPP’s time. Therefore, these split/shared encounters will now have to be billed under the NPP’s NPI, and the practice’s reimbursement will be reduced by 15% off the top. Split/Shared service encounters remain a moving audit target.

Who Should Attend:- 

  • Medical Coding Specialists
  • Medical Billing Specialists
  • Medical Auditing Specialists
  • Private Practice Physicians
  • Managed Care Professionals
  • Operations Leadership
  • Practice Administrators
  • Office Managers
  • Compliance Officers/Committees  

Choose Your Options

Error Conference Exists In Wish-list.

Congrats Conference Added In Wish-list.

Recording   +   $229
DVD   +   $249
Recording + DVD   +   $399
Transcript (Pdf)   +   $229
Recording & Transcript (Pdf)   +   $389
DVD & Transcript (Pdf)   +   $399




* Download the Order Form

* Over 6 attendees? Contact at +1-866-823-1483 or
Mail at cs@onlineaudiowebinar.com

Find more webinars by expert Toni Elhoms.