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Wiki new/established

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ahaderly

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hi - we are a department of a hospital - radiation therapy - please define new patient vs established. does it matter if that patient has been seen by another provider in one of our provider-based clinics?

thanks - Anita
 
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Hello,

If the new/established patient rule applies to the service you're reporting then the rule would apply:
If the
clinician or a clinician of the same specialty (and sub-specialty for some private payers)​
provided a professional service to the patient within the past three years then the patient is established.
 
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