Shared care is the latest CMS billing opportunity. CMS makes major adjustments every year. “Incident To” has been around for a while and has changed. Practitioners must prepare for 2024 adjustments now. Practitioners must master shared care and billing to avoid confusion. Recognizing 2024 changes and documentation needs for shared and incident care decreases audit risks and increases corrective billings.
CPT and CMS introduced major split/shared services reforms in 2024. CPT expanded its definition to allow the practitioner to spend over 50% of the time or make medical decisions to determine the substantive component.
CMS attributed the substantive component to the practitioner spending most of the time making medical decisions. Notably, CPT concepts no longer support full history or exam recording.
This webinar will clarify the differences and help physician billers correctly reporting both types of services.
Why should you attend?
Clearly understand the billing opportunities of shared care and “incident to” services and the documentation to support both services. It is important to know when you can bill under the physician versus the qualified health care professional (QHP) due to reimbursement differences. Correctly billing these services will avoid audit paybacks and possible prepayment reviews.
Areas covered in the session:
Who should attend this?
* There will be time allowed for questions at the end of the presentations. (Live Session)
*Not able to attend the live session? Choose an On-Demand session to watch the session later.
Jan Rasmussen, PCS, CPC, ACS-OB
Jan is an independent consultant and president of Professional Coding Solutions. She has been involved in coding and reimbursement for over 40 years, specializing in physician billing and documentation issues. Jan was previously employed with the State Medical Society of WI as a coding education consultant. In her role as an educator, she has developed and presented CPT, ICD, primary care, surgical specialty, and audit process seminars. Jan previously served on the Board for Advanced Medical Coding with Decision Health in Rockville, Maryland, publishers of Part B News, and was a technical editor of the OB/GYN monthly specialty focused “Pink Sheet.”. She has been teaching E/M since 1992 to both physician and coding audiences. As an auditor, she has been involved in government PATH audits, Champus, and compliance documentation assessments.
Jan has been a CPC since 1993 and previously served on the AAPC Advisory Board as the liaison to the AMA. In 1994, Jan was honored by the AAPC as Networker of the Year. She was also a regional governor for the American College of Medical Coding Specialists (ACMCS).
