CMS released the Final Rule for 2022 on November 2nd.  In addition to setting the fee schedule for 2022 Medicare payments, the rule adds or updates policies related to coding, billing and documentation for physician services.  The 2,100+ page document addressed a wide variety of issues related to the Medicare program. The most noteworthy for emergency medicine are modifications to the performance and documentation requirements for shared services when a Physician’s Assistant or Nurse Practitioner is involved in treating a patient in the emergency department.