Em coding new or Est

cody1

Guest
Messages
5
Location
Moore Local Chapter
Best answers
0
I have a question? if a new Dr moves from one faciltiy to another and brings his/her patients to the new clinic. Would you code those patients as new or established? Any help be greatly appreciated. :)
 

rthames052006

True Blue
Local Chapter Officer
Messages
1,905
Location
York, Pa
Best answers
0
I have a question? if a new Dr moves from one faciltiy to another and brings his/her patients to the new clinic. Would you code those patients as new or established? Any help be greatly appreciated. :)
They would be considered established so long as they've had a face to face visit with the provider within the past 3 years, otherwise if it's been more than 3 yrs since they've seen this provider, they'd be new patients.
 

dmarcus

Guest
Messages
2
Best answers
0
according to medicare the facility is new but the patient is not new to the Dr. so you would bill an est. visit. I asked a medicare rep at a meeting last fall we had the same situation.
 
Top