We have a group practice with 3 ENT's and 1 Dermatologist. My Doctors want to see some documentation regarding the guidlines on how to bill new vs established if a patient sees more than one doc in our practice for differant conditions. the three year rule keeps popping up when we code new patient in the following example.
For example if one of our doctors sees a patient for a ear problem (this doc is ent/neurotology) one year and then the next year sees one of our other Docs for the first time for a thyroid problem can the second doc that treated for the thyroid code a New Patient Exam.
All of our Docs have the same Group NPI and use the same Tax ID but of course have individual NPI's that appear on the claim.
If anyone can offer guadiance and also where i can find documentation that would be great.
For example if one of our doctors sees a patient for a ear problem (this doc is ent/neurotology) one year and then the next year sees one of our other Docs for the first time for a thyroid problem can the second doc that treated for the thyroid code a New Patient Exam.
All of our Docs have the same Group NPI and use the same Tax ID but of course have individual NPI's that appear on the claim.
If anyone can offer guadiance and also where i can find documentation that would be great.