Provider Training – Split/Shared Guidelines
Instructor
Brittany Sowards, BA, CPC, CPMA, CCC, CCVTCDescription
This 15-minute webinar covers the rules and documentation requirements for split / shared E/M services in facility settings. You’ll learn how a physician and non-physician practitioner (NPP) can share work on the same patient encounter, how to determine who bills based on the “substantive portion,” and how to comply with time-based and medical decision making rules.
Key Takeaways
- Define what qualifies as a split / shared visit and when these rules apply (facility settings only)
- Determine which provider performs the substantive portion—whether by time or medical decision making
- Recognize how to combine joint and independent work to support the correct E/M level
- Apply time-based and MDM rules properly in a split/shared context
- Implement prolonged services and critical care rules under split/shared when applicable
- Document clearly: each provider’s independent and joint work, signatures, and division of responsibilities
Who this course is for
- Physicians and NPPs collaborating on patient care in hospitals, skilled nursing facilities, or other facility settings
- Coding professionals / auditors validating split/shared services
- Practice managers, compliance officers, and documentation teams ensuring defensible billing
Why it matters
- Ensure correct billing by identifying which provider should bill based on substantive work
- Avoid denial or audit risk through clear documentation of split/shared roles
- Maximize compliance and reimbursement while aligning with payer and CMS guidelines
What you get
- 15-minute webinar — focused, practical content you can watch on your schedule
- Transcript & slides available for review and reference
- Insights you can apply immediately to documentation and coding workflows
FAQs
Can I purchase this course individually?
How long is each course in the Training Plan?
Who is the Provider Training Series designed for?
About our Medical Coding Courses
HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a flexible, online education platform designed for today’s coders. With a growing catalog of AHIMA and AAPC-approved coding courses, HIAlearn supports both beginners and experienced coders looking to build confidence, accuracy, and CEU credits.
Courses are available across various coding types including CPT, E/M, ICD-10-CM, and ICD-10-PCS, and are designed for multiple specialties including inpatient, outpatient, profee, and CDI.
To stay up to date, coders can explore our Coding Updates hub for the latest ICD-10-CM, ICD-10-PCS, CPT, and IPPS changes. HIAlearn also supports organizations with group discounts and scalable team access, promoting accuracy, compliance, and continuous professional development across departments.
Overview
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