Wiki Em coding new or Est

cody1

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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. :)
 
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.
 
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.
 
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