Split Shared in 2024 - What CPT Changes mean vs Medicare's rules

The working definition of what a split/shared visit is, has been the cause of many discussions in the past several years.  CMS/Medicare had very specific points they needed addressed that the Guidelines in CPT did not cover.  Items whether the two practitioners had to be in the same group, or if the practitioner who was the billing provider had to perform the substantive portion of the visit, or what locations split/shared visits were allowed at.   There were two sets of rules or guidelines for these services between a physician and a nurse practitioner or physician assistant.  In 2024, CPT redefined split/ shared visits with more clarity in their guidelines.  CMS/Medicare announced they were following CPT Guidelines.  They also announced use of the FT modifier is required for all these visits.  CMS/Medicare have recently given the Medicare Administrative Contractors, some additional guidance for these visits, that may cause you to re-evaluate how your practice performs and documents these shared visits.  Do you know about them?

Webinar Objectives

The objective of this webinar is to give participants the most up to date information available regarding split/shared visits.  Although CMS/Medicare has indicated they are following CPT guidelines, there is still room for defined differences.  Areas where CPT is silent, but CMS/Medicare has opinions.  Various MACs have differing information on their websites about this. 

This session hopes to give you a well-defined definition of the documentation of and practical use documentation of split shared visits.

Webinar Agenda

Split/shared visits

• CPT definition in 2024
  • CPT Guidelines
• CMS/Medicare definition in 2024
  • CMS’s “clarifications”
• Critical Care – why is it different

Webinar Highlights

• What changes did the AMA make to CPT guidelines for split/shared visits in 2024
  • For visits
  • For Critical Care visits
• CMS Medicare
  • from the Federal register on the 2024 PFS Final Rule
    • what are CMS/Medicare guidelines for Split shared
    • what are the differences from CPT
• Practical application of split shared rules in an outpatient and in patient setting

Who Should Attend

Coders, Billers, Office Managers, Office Administrators, Practice Administrators, Nurse Practitioners, Physician Assistants, Physicians