sjsantjer
Networker
We are a dermatology office our PA saw a patient who was new to our office, we billed Medicare a new patient E&M, Medicare denied the new patient visit stating that the PA saw the patient at her previous employer a family practice clinic. Medicare states that it didn't matter that we are a complete different clinic and specialty with different group NPI and tax id, because she is still a "PA" that is her specialty. Has anyone else had this issue? Should I change to an established patient visit and re-file, or appeal on the grounds that we are a different specialty and office? Thanks