Understanding Split/Shared and “Incident to” E/M Visits in Urgent Care (POS 20) 

In the urgent care facility, navigating the complexities of billing and provider roles is crucial for delivering efficient and effective patient care. Let’s delve into the concepts of split/shared E/M visits and “incident to” E/M visits permissible in an urgent care setting. 

What are split/shared E/M or “incident to” E/M visits permissible in an urgent care facility (POS 20)? 

Care in urgent care settings may involve a collaborative approach between physicians and non-physician providers (NPPs), where services are billed based on the total time spent or the substantive portion of work performed and documented. The provider who spends the most time or performs the major part of the service becomes the billing provider. 

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