Imm Care office charge

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Our family practice office is changing the procedure for Immediate Care patients and making it separate from the family practice. With this, we are being told that Immed Care patients are always coded as "Established" patients, even if they haven't been seen by us before. If the patient later chooses to establish with our "family" clinic, they would be considered "new" to that provider for the first visit.

If a patient is "new" to a clinic no matter if family side or Immediate Care side, shouldn't they be coded "new" and subsequent visits be "est"??

Thank you!!
 
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Milwaukee WI
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Same specialty, same practice?

If the physicians serving the Immediate Care clinic are of the same specialty and same practice as the regular clinic, then the patients are classified as new or established based on whether they have received ANY services from ANYONE in the same specialty/same practice in the past 3 years.

F Tessa Bartels, CPC, CEMC
 
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