The past, present, and future of split/shared visits for Medicare and beyond

14 minute read

Healthcare delivery has expanded in its utilization by nonphysician practitioners (NPPs), often working with physicians in similar specialty areas. In some healthcare settings, it is common for both an NPP and a physician to see a patient on the same day. As this delivery model became more common, providers sought mechanisms to ensure reimbursement was consistent with professional resources. The concept of a split/shared visit between physicians and NPPs eventually developed.

This article describes the inception of the split/shared visit concept as a billing rule, incremental revisions to the policy, and updates in both Medicare policy and Current Procedural Terminology (CPT) guidelines for 2024.

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