One of our doctors came to us from a nearby practice. Many of his existing patients followed him. We billed those patients' first visits to our practice as new patient visits, since they were new to our practice. But they weren't new to the doctor. Some of the payments already made are being recouped because 'new patient qualifications were not met.' It seems to me that claims under a completely different practice tax ID should qualify as a new patient, even if the doctor is the same. Am I wrong? Is there a coding rule I'm missing that would address this issue?
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