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ED Coding and Reimbursement Alert

READER QUESTIONS:

Show Shared Effort on Split Visits

Published on Mon Apr 20, 2009

Question: A 68-year-old Medicare patient reports to the ED with a small lump in his groin; he says he noticed it about three days ago. A fully licensed non-physician practitioner (NPP) performs an expanded problem-focused history, during which the patient reports that he had been lifting heavy boxes a week ago. The NPP also performs an expanded problem-focused exam, during which the patient reports that the mass aches slightly, but is not painful to the touch. The NPP suspects a hernia, but calls the physician in for confirmation. The physician performs a -cough test- and brief abdominal exam, confirming an inguinal hernia. The physician then puts the patient in a supportive truss, and instructs him to follow up with a surgeon for repair. Is this a shared visit? Connecticut Subscriber Answer: This is a split/shared visit, though there are some specific documentation guidelines you-ll need to follow for claim acceptance. [...]
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