A New Era of Split/Shared Visits: Five Key Points for Compliant Billing in 2022 and Beyond

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A New Era of Split/Shared Visits: Five Key Points for Compliant Billing in 2022 and Beyond

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A New Era of Split/Shared Visits: Five Key Points for Compliant Billing in 2022 and Beyond

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Presented on: Wednesday, January 26, 2022 | 1:00–2:00 p.m. Eastern

Presented by: Christopher Acevedo, Chief Operations Officer, Acevedo Consulting Inc.

Ensure you’re ready to document, code, and bill using Medicare’s new rules for “split (or shared)” facility visits when a physician and a qualified healthcare professional are both involved in the encounter. A spate of updated billing rules, including new time-based requirements, take effect January 1, 2022.

Physicians and nonphysician practitioners who have been accustomed to reporting shared facility visits to the same patient on the same day must adjust to major changes in how these services are now documented and billed to Medicare. They’ve been given very little lead time, as CMS finalized the policies in the final 2022 Medicare physician fee schedule, released November 2. In this session, you’ll gain the information you need to report split (or shared) visits accurately and compliantly.

At the conclusion of this program, participants will be able to:

  • Understand the two methods for determining the “substantive portion” of a split/shared service in 2022 and identify which one works best for their clinicians
  • Properly apply the new modifier -FS for split/shared services and understand how it interacts with other modifiers
  • Understand when it does and does not make sense to use split/shared billing
  • Grasp when it’s appropriate to report prolonged split/shared services 


Agenda

  • The definition of “substantive portion” and how to determine which clinician provided it (Hint: You have options for determining the substantive portion, but only in 2022)
  • The scope of the new split (or shared) policy, specifically the codes and settings to which it applies
  • When and how to report prolonged services with the new rules
  • Compliance risk areas to guard against when ensuring accurate claims reporting
  • Q&A

Who Should Listen?

  • Physician practice coders
  • Billers
  • Billing managers
  • Clinicians

Meet the Speaker

Christopher AcevedoChristopher Acevedo is a healthcare industry veteran with over 15 years of expertise in combining the unique perspective of avoiding physician risk and liability with opportunities for optimizing reimbursement. Most recently he served as vice president of physician operations for the nation’s largest privately held hospice as well as the chief operating officer of the largest multistate provider of palliative care services in the United States. In these roles he was responsible for day-to-day operations, strategic growth, oversight of clinical integration and excellence, financial performance, and operational efficiencies. Acevedo remains sought after as a lecturer, and his expertise in building integrated palliative care partnerships has been vital in transforming healthcare delivery to vulnerable patient populations.

Continuing Education

BMSC
This program is preapproved by the Board of Medical Specialty Coding & Compliance (BMSC) for CEU(s).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer or Edge, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: Internet connection (high-speed connection recommended) 
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

PLEASE NOTE 
Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet.

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.