established patient

  1. L

    Wiki Interprofessional Consults

    Hello, I have been going back and forth on this one question a provider asked. I hope someone can help. If a provider does an Interprofessional consult on a patient and 4 months down the road, the patient schedules an apt. to see that specialist, is that patient considered a new or established...
  2. KStaten

    Wiki Who Has Documentation Permissions per Medicare Guidelines?

    Hello Everyone! :) I am trying to put a table together to describe components of a medical document for a typical outpatient setting office visit and list who (per Medicare guidelines) has permission to document each one. In other words, in order to correctly bill under the physician, what...
  3. JessBojan

    Wiki Performing a procedure or diagnostic test prior to New Patient Visit?

    Hello! This may have been answered somewhere but I couldn't find anything using the search. I am wondering what the best way to go about coding new patient visits when the provider has previously performed a procedure/diagnostic testing. We often get patients who schedule hysterosalpingogram or...
  4. A

    Wiki established patient visits- can physician transcribe note prior to visit????

    I work for a billing company, and with one of our newer clients some physicians are transcribing the office note the day prior to the visit and then signing it after the visit. Is this acceptable?
  5. K

    Wiki E/M with a 25 when doing an injection?

    Hello, I am fairly new to orthopedic coding and our docs do a lot of injections! I am struggling with when it is okay to bill an office visit with the 25 modifier. The guidelines that I was told to go by was that we always bill a new patient (99202-99204) with the 25 when an injection is...
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