MedAxiom Resources: Navigating Split/Shared and Critical Care Professional Service Billing

The 2022 Medicare Physician Fee Schedule changed billing rules for reporting split/shared visits. Effective Jan. 1, 2022, split/shared critical care visits must be reported by whichever clinician contributes more than half the total time in qualifying activities. A similar requirement is scheduled for implementation Jan. 1, 2023, for evaluation and management services provided in the facility setting, with payment being made only to the clinician who contributes more than half the total time. The ACC and MedAxiom have joined with other medical societies in advocating for changes to calendar year 2023. In the meantime, review MedAxiom resources to understand how the billing changes affect team-based care delivery and how to manage the changes while maintaining an effective team-based approach. Explore our resources.