The Pulse: How To Navigate The Latest Split/Shared Services Changes

How To Navigate The Latest Split/Shared Services Changes

Audio

In this episode of The Pulse, Lori Cox and Pam Brooks sit down to discuss split/shared services. With the patient experience, compliance, and reimbursement in mind, these industry experts answer questions like:

If critical care is performed by more than one provider in the same group setting, must the services be billed as split/shared?
Does the provider need to document that they have seen the patient when the mid-level already saw them?
If it’s a split/shared visit, would both providers need to document all three components (history, exam, and MDM)?
Is Modifier FS only required on APP claims and not the MD?
Can you used split/shared for hospital discharge services?

Plus, they examine The Final Rule, telehealth services, Place of Service codes 19 and 22, how to educate providers on tracking time, and more.

This webinar will be helpful for Practice Managers, Compliance Officers, Auditors, Coders, Revenue Cycle Managers, Coding and Billing Managers, CFOs, CMOs, and CEOs. 

About the authors

Lori Cox

MBA, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC, Regional Director, AAPC Services / Director of Client Engagement, AAPC Services / AAPC /

Lori Cox has over 25 years of experience working in the business side of healthcare. She began her career in patient accounts and then moved into billing and coding for a multispecialty clinic. She was eventually promoted to billing supervisor and then to compliance officer, where she wrote, maintained, and trained employees and providers on fraud and abuse. Currently, Cox works for AAPC Services as Director of Client Engagement, performing audits and education for clients across the U.S. She has spoken at HEALTHCON and regional conferences and has traveled the country educating coders and physicians on complex coding topics such as hem/onc and E/M guidelines. Cox is the past member relations officer for AAPC’s National Advisory Board.

Pam Brooks

MHA, CPC, COC, PCS, AAPC Fellow

Pam Brooks, MHA, CPC, COC, PCS, AAPC Fellow, is manager of regulatory billing audit at MaineHealth. She is responsible for the corporate billing auditing and compliance program, serving nine hospitals and several other healthcare facilities. Previously, she led a team of professional and technical fee coders and auditors for a N.H. community hospital. She is a member of the Portland, Maine local chapter and currently serves on the HEALTHCON Education Committee. She served on the 2015-2018 National Advisory Board and is a frequent contributor to AAPC the Magazine. She speaks regionally and nationally on coding, auditing, and career development topics. Brooks holds a bachelor’s degree in adult education and workplace training from Granite State College and a master’s in health administration from St. Joseph’s College of Maine.

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