Split Shared Documentation Requirements: What does Substantive Portion Mean?

The webinar discusses split shared billing in facilities, emphasizing the need for proper billing methods to prevent claims from being denied without necessary modifiers and documentation.
IMG Maya Turner
Webinar Id: 61636

Overview:

This webinar will address the nuances associated with split shared billing in the facility. There are ways to bill split shared services when performed on the same day of service when the APP and the physician round on the same day. Do not miss out on the very important method to bill. If not, you may get your claims denied without the appropriate modifier and documentation to support the level of service you are billing. If you round at the hospital or at a facility where the services may often be performed on the same day as an APP (not another physician) you can bill for these services and get optimal reimbursement.

Why you should Attend:

You can bill for services when the APP and the Physician round on the same day in the Facility. Do it the RIGHT Way.

Areas Covered in the Session:

  • Define Split/Shared Services and “Incident To” definitions 
  • What is the substantive portion
  • What is CMS’ definition of facility 
  • Compare Incident to services with Split Shared Services 
  • How CMS will determine when Split Shared Services are billed 
  • Understanding how collaborative agreements work with Facility Based Services 
  • How the CY2024 Federal Register has updated CMS’s determination of the substantive portion 
  • How different MAC’s are being transparent with their expectations of documentation of split shared services

Who Will Benefit:

  • Physicians
  • Billers
  • Practice Managers
  • Operations
  • Practice Executives

Speaker Profile

Maya Turner is a certified professional coder with 30 years of experience in revenue cycle management, coding compliance, and education, Maya's dynamic teaching style and unparalleled expertise will undoubtedly enrich the learning experience for our participants, ensuring a comprehensive and engaging educational journey.

A seasoned certified coder and auditor, boasting of nearly 30 years of experience and subject matter expert to many coding compliance subjects, she especially is sought after for her in depth knowledge base of pro fee multi-specialty practice, primary care, hospitalists, telehealth, inpatent and SNF billing. She is also a published author having written articles for AAPC and HCCA, and currently is a part of the ACDIS Leadership Council. She’s scheduled to speak at such venues as NIHIMA, IHIMA as well as HealthCon, and HCCA’s Compliance Institute and several AAPC Local Chapters. She showcases her unmatched three-dimensional thinking in complex subject matters, Mayas’ success is marked by her clear and well received presentation style, reflecting her profound understanding and expertise. Maya also has a consulting company, Turner Expert Consulting Services, LLC (www.turnerexpertconsultingservices.com).

With this venue it allows her to assist other entities and/or students to provide training for certifications and bring addition insight for revenue cycle and coding compliance expertise outside of her current employer. Being able to provide assistance brings great joy to assist others in any way she can.