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What Is The Minimum Required Documentation When Billing For A Split/Shared Visit?

What is the minimum required documentation by the Attending Physician when billing for a split/shared visit?

Shared visits may be billed under the physician’s name if and only if:

  1. The physician provides a medically necessary face-to-face portion of the E/M encounter (even if it is later in the same day as the PA/ARNP’s portion); and
  2. The physician personally documents, in the patient’s record the details of their face-to-face portion of the E/M encounter with the patient.
  3. An Attestation alone, by the Attending Physician, is not acceptable as Physician Documentation.  The Teaching Physician Rule does not apply to NPPs (Nurse Practitioners or PAs). 
  • If the physician does not personally perform and personally and contemporaneously document their face-to-face portion of the E/M encounter with the patient, then the E/M encounter cannot be billed under the physician’s name and must be billed under the NPP.
  • The NPP MUST be an employee (or leased) to bill a shared visit.  Documentation from a hospital employed NPP may not be utilized to bill a service under the physician unless it’s only the ROS and PMFS Hx.