2022/2023 Split/Shared Visit and Service Reference

Recent changes to the Centers for Medicare & Medicaid Services (CMS) rules for split/shared encounters involving physicians and advanced practice providers (APPs) are an important area for healthcare leaders to understand, as they are sometimes confused with teaching physician or incident-to rules.

These rules, codified in CMS Regulation § 415.140, are set to be updated with implementation of a new final rule in 2023 following an initial rule update that was made effective in January 2022.

This member-exclusive split/shared visit and service reference details the 2022 and 2023 substantive portion definitions, as well as place of service and modifier usage, for E/M visits in outpatient facilities (excluding office visits in non-facility settings), hospital facilities, and skilled nursing facilities.

Additional resources

• Read more about the changes planned for 2023 from Amanda Rumpke, MSN, APRN-CNP, system director of advanced practice clinicians at Pulmonary and Critical Care Consultants of Fairfield, in her recent article, “Maximizing your advanced practice workforce through implementation of CMS’ 2023 MPFS split/shared rule”
• Learn even more by registering for the June 29 member-exclusive webinar, “The 2023 Split/Shared Rule: Is your Medical Group Ready?”