Medicare billing rules for shared evaluation and management (E&M) visits are changing in 2022 — and again in 2023. Get the scoop here, plus important reminders about incident-to billing.
In its crusade to reduce healthcare costs, CMS has targeted shared (split) evaluation and management (E&M) visits in the hospital setting. Under new rules for calendar year 2022, CMS aims to pay the lowest possible rate for shared E&M services delivered by physicians and non-physician providers (NPPs). It’s all spelled out in the 2022 Medicare Physician Fee Schedule (MPFS) final rule. But the new shared billing rules are complex and prone to misinterpretation. On top of that, the MPFS shared billing rules will undergo further modification in 2023, adding to the confusion.
During this RACmonitor webcast, prominent healthcare attorney David Glaser, will bring much-needed clarity to the shared billing rule changes for both 2022 and 2023. In addition, he’ll devote a portion of the session to incident-to billing in the physician office, reinforcing important concepts and refuting myths such as “I can’t use incident-to billing when a patient under my care presents with a new problem.” (Yes, you can in many instances.)
Accurate billing and the correct reimbursement are more important than ever — as is the avoidance of claim denials and penalties. With a single educational webcast, you can take a big step toward ensuring proper billing, both for shared E&M visits and incident-to services. The session will lead off with an explanation of changes to shared billing rules under the 2022 and 2023 MPFS. It will conclude with discussion about incident-to billing, addressing common issues that can result in significant hits to your revenue stream.
Compliance, audit and appeal managers; medical auditors, coders and billers; and those who bill for physician services on behalf of hospitals.
Only one login is allowed per webcast purchased. Discounted pricing for additional registrants is available.