Great question!!! and after the call we were just discussing did we answer that properly or not! My apologies. So you are correct CMS will allow combined time but not all payers do. I'm just going to check with Brad & Trish, or they may chime in here if they have any other comment. Thanks for posting
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Vanita D. Jain, MD
Delaware Center for Maternal & Fetal Medicine
Medical Director High Risk Unit (PSCU) & Clinic, Christiana Care Health Systems
Clinical Assistant Professor, Sidney Kimmel SOM, Thomas Jefferson University
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Original Message------
During the webinar today, it was stated you canNOT combine MD and APP time when billing based on time. I question this based this FAQ on the Medicare site:
For time-based split/shared encounters, is there a requirement on how time is split between the physician and the NPP in seeing the patient?
Answer: There is no requirement regarding how much of the split/shared visit time should be spent by either provider. As always, time spent by each provider must be carefully documented, and the cumulative time for both is counted for the total visit time. Updated 6/9/2017
https://www.ngsmedicare.com/ngs/portal/ngsmedicare/newngs/home-lob/pages/policy-education/evaluation%20and%20management/em_split-shared%20and%20incident%20to%20services/!ut/p/z1/3VRLc4IwEP4reuiRSYCgeAwPgYKgAsVwcdKADq08xlqt_fVF-pipjjJO20uTQ7Kbb7_st7MJiMEMxAXdZku6ycqCrmqbxL05wpbO8yq0PdmEENsaRtg1RAOJILoE8HwI4uviRU-GGA0VTZuMRUMR2uLvALEBCXY5JcsPMnhm4KuTOQHEl-kjEF-6oinHEUDVca1Xc3suHvIelE4ApwVpy4LUKvpnVagQ-AeOimUJIL0BoveDgcgtaCpyiAkLTuYZ4gQmIImnrJ4JiLZZugNhUa7zuiVa6IV3-kgdzSehPq3Rh63heAp25qrnBvosAOQGuoY_SpOM0XWqlsUmLTauHn1zN_a4XGVs_7l29OSZNb3ZCcoqY083UMG-3jk-_UuB_H8TCCW-bjEVWX1kmoIX9H-3QYzQ0uv6KXbohFCwDPRD-tvWV-x8fQgxD0wIqjwMi33GPU7N12Bh5vnYlVNKZPFFqrYPjWu2w93uGwDzPpA!/dz/d5/L2dBISEvZ0FBIS9nQSEh/
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Erin Kornovich
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