Administration
Ryan Hakimi, DO, MS, FCCM
University of South Carolina School of Medicine-Greenville
Disclosure(s): No relevant financial relationship(s) to disclose.
Given that split-shared billing allows the provider (physician and APP) to sum their critical care time for the purpose of billing, a greater total amount of critical care billing dollars can be harvested under split-shared billing. However, in most instances, the APP spends more time providing critical care services than the attending physician. Therefore, the cumulative billing is submitted under the APP and the work Relative Value Units (wRVUs) are attributed to the APP. Since critical care utilizes a team-based model, we should not be concerned about who gets the credit and should focus on the total revenue collected by the team as that is what will enable staff expansion, bonusses, and raises.