Split Share Visits Coding: Does FS Mean You’re Fairly Skeptical?

Codes Discussed: FS modifier (Split or shared E/M visit modifier), POS 11 (Office place of service, not allowed for Medicare split/shared services), POS 31 (Skilled nursing facility place of service), 99304-99306 (Initial federally mandated comprehensive SNF visit codes), 99223 (Initial hospital inpatient or observation care), 99418 (Prolonged service code), 99233 (Subsequent hospital inpatient or observation care), G0316 (Prolonged hospital inpatient or observation care add-on code for Medicare), 99232 (Subsequent hospital inpatient or observation care), 99291 (Critical care, first 30-74 minutes), 99292 (Critical care, each additional 30 minutes), 99204 (New patient office or other outpatient E/M visit), 99214 (Established patient office or other outpatient E/M visit), 99213 (Established patient office or other outpatient E/M visit), 99468-99469 (Initial and subsequent inpatient neonatal critical care services), modifier FS (Split/shared E/M visit), 99223-FS (Split/shared initial hospital inpatient or observation care), 99418-FS (Split/shared prolonged service), 99233-FS (Split/shared subsequent hospital inpatient or observation care), G0316-FS (Split/shared Medicare prolonged hospital inpatient or observation care), 99232-FS (Split/shared subsequent hospital inpatient or observation care), 99291-FS (Split/shared critical care), 99292-FS (Split/shared additional critical care), 99204-FS (Split/shared new patient outpatient E/M visit), 99214-FS (Split/shared established patient outpatient E/M visit)

Topics Covered: split/shared visit coding, split/share E/M coding, shared service coding, split/shared E/M service definition, AMA split/shared guidelines, CMS split/shared guidelines, CPT split/shared guidance, Medicare split/shared billing, facility setting E/M coding, physician and NPP shared services, APP shared service coding, PA shared service coding, NP shared service coding, nonphysician practitioner billing, billing provider determination, substantive portion documentation, substantive portion by time, substantive portion by MDM, medical decision making documentation, MDM split/shared visit, two of three MDM elements, problems addressed, data reviewed and analyzed, independent interpretation of tests, discussion of management plan, risk of patient management, management plan approval, physician responsibility for plan, qualifying time for E/M, distinct time documentation, overlapping provider time, face-to-face requirement, non-face-to-face E/M time, combined provider time, prolonged split/shared services, prolonged service billing, hospital inpatient E/M coding, subsequent hospital visit coding, Medicare prolonged services, critical care split/shared services, critical care time documentation, cumulative critical care time, critical care qualifying activities, critical care add-on code billing, critical care time thresholds, CPT critical care thresholds, CMS critical care thresholds, modifier FS billing, HCPCS modifier FS, split/shared claim identification, SNF split/shared visits, skilled nursing facility E/M coding, initial comprehensive SNF visit, federally mandated SNF visit, subsequent SNF split/shared visits, incident-to billing exclusion, outpatient facility shared services, POS 22 outpatient hospital coding, POS 11 office exclusion, Medicare Claims Processing Manual guidance, CMS 2024 final rule, CPT Assistant split/shared guidance, MAC guidance for split/shared services, WPS split/shared guidance, Novitas split/shared guidance, First Coast split/shared guidance, Noridian split/shared guidance, Palmetto GBA split/shared guidance, NGS split/shared guidance, provider time statements, unsupported time statements, specific minute documentation, split/shared documentation requirements, provider identification documentation, billing provider signature and date, shared visit attestation, addendum documentation, physician addendum requirements, PA note and physician addendum, NP note and physician MDM, MDM versus time documentation, local MAC guidance, hospitalist split/shared visit example, GI bleed shared service example, orthopedic shared visit example, fracture shared visit documentation, shared visit audit risk, E/M reimbursement differences, physician reimbursement, NPP reimbursement, 85 percent NPP reimbursement, 100 percent physician reimbursement, modifier FS appropriateness, NICU shared services exclusion, neonatal critical care coding, single individual critical care reporting, split/shared case studies, E/M documentation examples, coding compliance for shared services, split/shared billing compliance, E/M coding education, medical coding webinar content