Shared Visits
Description
Discover the intricacies of medical coding and billing in our 'Shared Visits' course. Learn to navigate the complexities of shared services, where physicians and non-physician practitioners collaborate to provide evaluation and management (E/M) services. Gain expertise in criteria, documentation, and reimbursement, ensuring accurate and compliant billing practices.
Included Lessons:
- What is a Shared Visit
- Definitions
- Shared Visit Service Based on Place of Service (POS)
- Shared Visit Criteria
- Shared Visit - Incident-To Exception
- Documentation Requirements
- Services that Cannot Be Reported as a Shared Visit
- Medically Necessary
- Time-Based Shared Visits
- Reimbursement Impact
- Organizational Impact
CEUs available for the following credentials:
AAPC
COC, CPC, CPC-P, CEMC, CPB, CPMA, CPPM
AHIMA
CCA, CCS, CCS-P, RHIT, RHIA, CDIP, CHDA, CHPS
Key Takeaways
- Understanding of Shared Services: Gain a thorough understanding of what shared services are in the context of medical coding and billing, including when and how they can be appropriately utilized.
- Documentation Mastery: Learn the essential documentation requirements for shared visits, ensuring that medical records accurately reflect the shared encounter.
- Billing Criteria: Understand the criteria that must be met for a shared visit, including the necessity of both providers sharing the same tax ID number and specialty.
- Incident-To Billing: Comprehend the concept of incident-to billing and when it is applicable, as well as the implications for reimbursement.
- Medical Necessity: Grasp the importance of medical necessity in shared visits, and learn to identify valid reasons for multiple providers seeing the same patient on the same date.
- Time-Based Coding: Learn how to document and code time-based shared visits effectively, ensuring compliance and accurate reimbursement.
- Reimbursement Knowledge: Gain insights into the reimbursement impact of shared visits, including the differences in reimbursement rates when using the physician's NPI versus the NPP's NPI.
- Organizational Awareness: Understand the organizational impact of shared visit guidelines and the importance of correctly reporting NPIs to avoid improper reimbursements.
Benefits of Taking Course
- Enhanced Understanding of Shared Visits Services
- Career Advancement
- Boost in Professional Confidence
- Continuing Education
- Increased Accuracy
FAQs
What is a shared visit in medical coding, and when can it be billed as a shared service?
What are the key criteria that must be met for a shared visit to be billed correctly?
Several criteria must be met for a shared visit to be billed correctly:
- Both providers must bill under the same tax ID number.
- Both providers must belong to the same specialty.
- They must perform a face-to-face encounter with the patient on the same calendar day, either jointly or independently.
- The service must be medically necessary, meaning there must be a valid medical reason for both providers to see the patient on the same date of service.
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 comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPT, E/M, ICD-10-CM, ICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatient, outpatient, profee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CM, ICD-10-PCS, CPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams.
Overview
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