Boost Practice’s Revenue: Navigate 2024 CMS Split/Shared and Incident-To Billing Changes

Event Materials (Key Required)

The term Split or shared visits used by the Center for Medicare & Medicaid Services (CMS) allow non-physician practitioners (NPPs) and physicians who work for the same employer/entity to share patient visits on the same day by billing the combined work under the physician’s National Provider Identifier (NPI) and receive 100% of the Medicare Physician Fee Schedule (MPFS), or the NPP’s NPI for reimbursement of 85% of the MPFS. This webinar will get the crux of understanding split or shared billing. In 2022, CMS stated they will no longer accept the typical attestation for when a physician has a collaborative agreement to round in the inpatient setting. They now in 2024 finalized and revised their rule on how to meet the “substantive portion” of the visit which also includes a medical decision. Don’t get caught up with not understanding what this means and how this could affect your reimbursement or much worse, put you at risk of being audited.

Learning Objectives:

• Define Split/Shared Services and “Incident To” definitions
• What is the substantive portion?
• What is CMS’ definition of facility?
• Compare Incident to services with Split/Shared Services
• How CMS will determine when Split/Shared Services are billed?
• Key elements to the Evaluation and Management MDM Table as it related to the substantive portion in your hospital rounding
• Understanding how collaborative agreements work with Facility Based Services
• Learn how the 2024 Federal Register has updated CMS’s determination of the substantive portion
• Know how different MAC’s are being transparent with their expectations of documentation of Split/Shared services

Areas Covered in the Session:

• CMS New Split/Shared Services and “Incident To” definitions
• What does CMS mean by Facility?
• What is the difference between Split/Shared and incident to billing?
• “Incident-To” Documentation vs. Split/Shared Billing Documentation
• What is the substantive portion?
• Table of Substantive Portion for E/M Portion Code Families in Split/Shared billing
• Will CMS know when Split/Shared services are billed?
• Does this new Split/Shared rule affect reimbursement?
• Split/Shared Documentation APP/Physician Reimbursement Table
• How CMS will determine when Split/Shared Services are billed?
• Split/Shared Documentation Examples for 2024 Rules
• Split/Shared Documentation Examples for the Past 2022 Rules
• What is the best way to document?
• What is considered substantive?
• Split/Shared Time-based billing
• EM documentation requirements
• Would this change how notes are attested?
• Preferred Attestation Language
• Time Affecting Teaching Physicians in the Office Based Setting
• Split/Shared Billing for Prolonged Services
• 2024 Updates Split/Shared Services
• 2024 CMS MAC Updates Split/Shared Services
• Table for reporting Prolonged Split/Shared Visits
• CMS Final Rule Split/Shared Services Attestation Questions and Examples
• Summation of documentation Split/Shared Substantive Portion
• Live Q&A Session

Suggested Attendees:

• Healthcare CEOs, CFOs and COOs
• Physicians and Non-Physicians Providers
• Billing Staff and Companies
• Healthcare Consultants
• Hospital Director
• Compliance Officers
• Mid-Level Providers
• Physicians
• Coders
• Billers
• Clinic Managers
• Nurses
• Practice Manager
• Office Managers
• Reimbursement Managers and Staff
• ASC Directors
• Health IT Software Developers
• Policymakers
• Other Staff Involved in the Telehealth Services

Presenter Biography:

---

Additional Information:

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to hear clearly

For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

---

Purchase Order Form – Click Here to download PO form.

---

Snippet From Our Previous Session