Shared Visit Documentation

Steve Adams, MCS, CPC, CPC-H, CPC-I For CMS you cannot bill “incident to” in the inpatient setting under most normal circumstances. However, CMS will allow a Non Physician Provider (NPP) like a PA or NP to see a patient and use the physician’s number to bill for their services under a provision called the “shared visit.” Because a “shared visit”...

Documentation for Office Consults

Steve Adams, MCS, CPC, CPC-H, CPC-I CMS no longer allows reimbursement for the consultation codes, so these issues pertain specifically to commercial patients. CPT defines a “consultation” as: A type of evaluation and management service provided by a physician at the request of another physician or appropriate source to either recommend care for a specific condition or...