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Wiki Split/Shared Billint

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funnygirl7

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Winfield, AL
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When both a NP and physician are seeing a patient, do they have to split bill the service?
 
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Is the NP and physician seeing the patient together on the same visit? Is the physician the "supervising physician" signing off on the NP's progress note?
 
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No, the physician is not always the supervising physician but they are part of the same group. They are rounding together but the NP is doing the progress note.
 
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funnygirl7 said:
No, the physician is not always the supervising physician but they are part of the same group. They are rounding together but the NP is doing the progress note.
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If you're using both provider's work to determine the level of the visit this should be billed as a split/shared visit under the NPI of the provider who performed the "substantive portion" of the visit.
 
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jkyles@decisionhealth.com said:
If you're using both provider's work to determine the level of the visit this should be billed as a split/shared visit under the NPI of the provider who performed the "substantive portion" of the visit.
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If the physician just signs off on the PA's note, the claim goes under the PA's npi number. Does the modifier -FS still need to be applied?
 
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If the physician only signed the note, but did not provide part of the service, it is not a split/shared visit and -FS would not apply.
 
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