Wiki Opinions please - shared visits

[sparkles1077]

Dear Fellow Coding Professionals,

I have a client that wants to code shared services. They are a hospital based outpatient clinic and incident to does not apply.

Do you think the following statement is acceptable? The NP dictates the note and the physician follows with this statement:

"I have reviewed the history, labs, and necessary diagnostic imaging studies. I have examined the patient along with Jane Doe, NP"

The billing provider they want to assign as the physician. I thought personal documentation was required, and I did not see this acceptable.

I appreciate your thoughts

Thank you

 

[OCD_coder]

It would really depend on the carrier requirements and if they accept incident to for an NP.

Novitas requires the provider to performed one of the three E&M components to qualify for split/shared visits. This documentation would not be sufficient to meet their requirements as we don't know what he/she examined.

 

[sparkles1077]

Thank you for your response OCD coder.

They are under WPS Medicare and I did just find some better documentation indicating that seen and examined is not sufficient.

http://www.wpsmedicare.com/j8macpartb/resources/provider_types/inpatientsplitem.shtml

Which is great to finally find!