Practicefirst would like to notify its client of the split/shared services rules for FY 2023 as published by CMS.
Per the 2023 Medicare physician fee schedule:
Split (or Shared) E/M Visits
“For CY 2023, we finalized a year-long delay of the split (or shared) visits policy we established in rulemaking for 2022. This policy determines which professional should bill for a shared visit by defining the “substantive portion,” of the service as more than half of the total time. Therefore, for CY 2023, as in CY 2022, the substantive portion of a visit is comprised of any of the following elements:
History.
Performing a physical exam.
Medical Decision Making.
Spending time (more than half of the total time spent by the practitioner who bills the visit).
As finalized, clinicians who furnish split (or shared) visits will continue to have a choice of history, or physical exam, or medical decision making, or more than half of the total practitioner time spent to define the “substantive portion” instead of using the total time to determine the substantive portion, until CY 2024.”
For Coding questions, don't hesitate to contact our Coding Managers, Vidya Baliga, at vidyab@pracfirst.com and Kelly Cole, at kellyc@pracfirst.com or 716-389-3262.
