Wiki hospital visit

[tonia503]

Are our providers able to bill a new patient visit in our office, when our provider has seen the patient in the hospital, but never at our actual practice?

 

[csperoni]

From CMS E&M services guide:

Patient Type
For purposes of billing for E/M services, patients are identified as either new or established, depending on previous encounters with the provider.
New Patient: An individual who did not receive any professional services from the physician/non-physician practitioner (NPP) or another physician of the same specialty who belongs to the same group practice within the previous 3 years.
Established Patient: An individual who receives professional services from the physician/NPP or another physician of the same specialty who belongs to the same group practice within the previous 3 years

 

[amyjph]

100% correct as advised above.
Think of it this way:
It's the fact that they have seen the provider, not the location they saw them.