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    Veronica Bradley
    Veronica Bradley, CPC, CPMA

    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.

    Download the reference (PDF)

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    Veronica Bradley

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    Veronica Bradley, CPC, CPMA

    Veronica Bradley, CPC, CPMA, has more than 20 years’ experience in medical coding and auditing in various specialties. She is also well-versed hierarchical condition category and risk adjustment coding. Other areas of expertise include E/M, procedural coding, Medicare reimbursement and other critical factors in coding and auditing. Veronica has worked in private practice, group practices, academic school of medicine and hospitals. Veronica received a bachelor’s degree in health information management and a minor in healthcare administration from Regis University in Denver.


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