Wiki Doctor cosigning on ARNP hospital visit

[jrsfla@aol.com]

Hi any information would be appreciated. Unsure how to code. Thank you!

 

[csperoni]

If physician merely co-signs the note, the billing would be done under the ARNP. If the physician also performs a face-to-face service with the patient (and documents such), it may be billed as a split/shared visit combining all of the care and billed under the physician. Please note split/shared is permitted in hospital inpt, outpt & ER settings, but not office settings, and excludes critical care codes. The physician and PA/NP must also be a part of the same group practice.

https://www.aapc.com/blog/23741-medicares-splitshared-visit-policy/

Or if you want the entire CMS reference:

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf

 

[jrsfla@aol.com]

If physician merely co-signs the note, the billing would be done under the ARNP. If the physician also performs a face-to-face service with the patient (and documents such), it may be billed as a split/shared visit combining all of the care and billed under the physician. Please note split/shared is permitted in hospital inpt, outpt & ER settings, but not office settings, and excludes critical care codes. The physician and PA/NP must also be a part of the same group practice.

https://www.aapc.com/blog/23741-medicares-splitshared-visit-policy/

Or if you want the entire CMS reference:

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf

Thanks so much, greatly appreciated.