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CMS Revised Split/Shared Visit Policy Changes for 2022

By: Sheila Haynes, CPC Coding and Compliance Manager Take notice and prepare for changes to the guidelines for billing split/shared services if your practice’s physicians and qualified health care professionals (QHP) regularly team up for hospital visits. The new guidelines go into effect on Jan. 1, 2022. What is a Split/Shared Visit? Definition of split…


Happy Holidays and Happy New Year!

From our RT Welter family to yours, we would like to wish you a very happy holiday season and New Year! We are so grateful for your continued support and business, and can’t wait to see what 2022 has in store! In observance of the holidays, RT Welter will be closing at noon on Thursday,…


OIG Spotlight – Modifier 25

Modifier 25 is an important Evaluation and Management service medical professionals need to understand. It is used for same-day procedures when services beyond usual pre and post-operation are necessary. Continue reading below for a breakdown and examples of modifier 25! By: Sheila Haynes, CPC Coding and Compliance Manager Pay close attention to billing E/M (office…


Critical Care Services

By: Sheila Haynes, CPC Coding and Compliance Manager Guidelines for Use of Critical Care Codes (CPT codes 99291 and 99292) To reliably and consistently determine that critical care services, rather than other evaluation and management (E/M) services, are medically necessary the following review criteria must be met in addition to the Current CPT Manual definitions:…