cnjacobs15
Networker
looking for some clarification on this.. as information given by one of our Behavioral health insurances is conflicting.
we recently hired a new provider to our group who practiced with another group in the area Same specialty but Different Group NPI and Tax ID
This provider will be bringing a panel of patients with them. These patients will be new to our practice group but not to the provider.
Can we bill for New patient E/M codes 99202-99205?
and or Initial Psychiatric diagnostic cpt codes 90791 90792
my other thought is that i had a claim deny before when 99213 was billed and optum stated ""Upon review this is the first claim filed under this member's account there this is an established patient , but since this is a new claim this is actually considered as a new patient within our portal , you will need to bill an initial assessment before submitting claims with 99213, that is for an established patient."
I hope this makes sense any input would be useful
we recently hired a new provider to our group who practiced with another group in the area Same specialty but Different Group NPI and Tax ID
This provider will be bringing a panel of patients with them. These patients will be new to our practice group but not to the provider.
Can we bill for New patient E/M codes 99202-99205?
and or Initial Psychiatric diagnostic cpt codes 90791 90792
my other thought is that i had a claim deny before when 99213 was billed and optum stated ""Upon review this is the first claim filed under this member's account there this is an established patient , but since this is a new claim this is actually considered as a new patient within our portal , you will need to bill an initial assessment before submitting claims with 99213, that is for an established patient."
I hope this makes sense any input would be useful