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Lcsw & md

S

sherriev

Networker
Messages
25
Location
Owensboro, KY
If you have LCSWs and LPCCs in the same clinic as MDs and APRNs, and patients see the LCSWs and LPCCs prior to seeing an MD, can the MD bill a new patient E/M level? Originally, I did not think so but now I'm confused and I do not know for sure which is right. Any thoughts? I'd appreciate any guidance.
 
LCSWs and LPCCs are not medical providers and do not share a specialty with an MD or APRN (and also cannot perform or bill E&M services), so a visit with one of those providers would not establish the patient. If the patient is new to the MD/APRN and to that provider's specialty within the clinic, then the initial E/M would be a new patient, unless the payer policy directs otherwise.
 
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