New Patient vs Established Pt Question

llewellyn

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We have a new provider to our practice who is bringing established patients with her . The question is even though we have not seen the patient before the patients have seen this provider within the last three years would you code this as a new or established patient for their first visit within our organization ?
 

solocoder

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Marshfield, MO
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We had the same situation here a few years ago. They had to be billed as established patients. A few times we did not know they had seen the doctor in his previous practice, billed them as new and the claims denied.
 
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If that specific provider sees the patient first, it's established. But, in an unlikely scenario, if another provider in the office sees the patient first, then it's a new patient.
 
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