How to Compliantly Report Split/Shared Services in 2024

Split/shared services are one of the most misunderstood categories of billing and reporting. 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. However, all of that changed in 2022 and 2023 (transitional years) with updated rules that disallowed this practice and required the visit to be billed under the NPI of the physician or NPP who either documents the history, exam, or medical-decision-making for the visit OR whoever provides more than 50% of the total service time. In 2024, the changes are even more drastic, now requiring the visit to be billed under the NPI of the individual who provides more than 50% of the total visit time. This changes everything about how these encounters are billed and dramatically impacts physician RVU allocation. The 2024 split/shared service updates will have a massive impact on providers' clinical documentation and reimbursement rates.

Join us for this information-packed webinar by Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer, and take a deeper dive into the 2024 split/shared service updates along with the discussion on the proper application of the 2024 guidelines, clinical documentation requirements, and dissect clinical documentation scenarios to map out how this will look for medical practices in 2024.

Webinar Objectives

The session aims to provide insights into the new 2024 split/shared visit rules in the facility setting, as announced by the Centers for Medicare & Medicaid Services (CMS). These groundbreaking changes are set to have a substantial impact on Medicare reimbursement, affecting both hospital-employed providers and physician practices utilizing non-physician practitioners (NPPs) in the facility setting.

Webinar Agenda

• Understand the 2024 Split/Shared Service Reporting Requirements
• Recall the appropriate billing and reporting protocols for 2024 Split/Shared Service Updates
• Recall new clinical documentation requirements for 2024 Split/Shared Service Updates
• Understand the financial impacts of 2024 Split/Shared Service Updates
• Understand the workflows and roles affected by the 2024 Split/Shared Service Updates
• Recall best practice Split/Shared Services billing tips for 2024

Webinar Highlights

• Discuss the major 2024 Split/Shared Service Reporting Requirements
• Review appropriate billing and reporting protocols for 2024 Split/Shared Service Updates
• Dissect the proper NPI submission requirements for 2024 Split/Shared Services
• Outline the new clinical documentation requirements for 2024 Split/Shared Services
• Highlight workflows and roles affected by the changes for 2024 Split/Shared Services
• Discuss financial impacts of the for 2024 Split/Shared Service Updates
• Walk through various split/shared service case studies to determine proper billing and reporting under the new 2024 rules
• Share best practice tips for Split/Shared Services in 2024

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  
• Chief Medical Officer