Wiki covering physician

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kellykletz

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Our Dr. will be out of town for the holidays and has asked a Dr. from another group to cover for him. Does the covering physician charge our established patients as if they are established, or can he charge them as new?

Thanks,
Kelly Kletz, CPC
Bloomington, IL
 
Based on CPT E/M service guidelines, they should be classified the same way your provider would have had they been the one to see them.

Laura, CPC, CEMC
 
Yeah I read that in the CPT book but that just doesn't sound right. If it is another Dr. from a completely different practice that you are covering for I would still think you would be able to bill a new patient.
 
^^ No, not really. The higher reimbursement for new patient visits is because of all the background work that the physician's staff must do such as getting records from other medical providers, getting past test results, etc. All that stuff has already been done and is part of the patients chart already, so they shouldn't get paid for doing all that again, when they don't have to.
 
Walker22 said:
^^ No, not really. The higher reimbursement for new patient visits is because of all the background work that the physician's staff must do such as getting records from other medical providers, getting past test results, etc. All that stuff has already been done and is part of the patients chart already, so they shouldn't get paid for doing all that again, when they don't have to.
Click to expand...

Agree....
 
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