E&M Incident-to and Split/Shared Services: Top 10 Issues for 2023

They’re the services most frequently reported by physicians and non-physician practitioners (NPPs). In 2023 evaluation and management (E&M) services may also be among the most problematic for coders and billing departments, thanks to sweeping federal changes. Two particularly impacted areas within E&M are incident-to and split/shared services. Is your hospital or physician practice in compliance with the many changes specific to E&M incident-to and split/shared services?

Using an easy-to-follow “top 10” format, hospital and physician compliance expert Michael Calahan will deliver clear insights and guidance through pressing issues, questions and concerns in 2023, including new documentation requirements, new and deleted E&M codes, and new rules for compliantly reporting E&M split/shared and incident-to services. By the end of this exclusive RACmonitor webcast, you’ll also possess a firm understanding of which E&M services may be split/shared under federal rules and which E&M services are subject to being performed and reported as incident-to by physicians and NPPs.

Why This Is Relevant:

A high volume of services equals a high likelihood that payers and auditors are keeping a close watch on payments to hospitals and physician practices. Are you appropriately reporting E&M split/shared and incident-to services? Using the most current codes? Satisfying the latest documentation requirements? Given the pervasiveness of E&M services, you definitely don’t want to take any chances with your revenues or compliance.

Learning Objectives:

• Understand which E&M services may be performed in a split/shared manner and what documentation is required
• Identify which E&M services qualify for incident-to a physician’s service and the criteria for accurately reporting these services
• Be aware of the pitfalls pertaining to split/shared and incident-to E&M services, so you can reduce your federal audit risks
• Be able to distinguish between facility-based and physician office-based E&M services that may be performed and reported as split/shared and/or incident-to
• Learn about crucial E&M coding changes (2021 vs. 2023) and new documentation requirements (2018 vs. 2023) related to split/shared and incident-to reporting

Who Should Attend:

Compliance, audit and appeal professionals; medical auditors, coders and billers; those who bill for physician services on behalf of hospitals; HIM professionals; attorneys; and facility C-suite executives.