Wiki new patient?

[poshley203646]

this question might of been asked before but my question is if new provider (chiropractor) joins a practice has own NPI but his claims will be billed with same Tax ID as rest of providers in practice would his patients be new?

 

[CodingKing]

Same provider in last 3 years = established. This applies regardless of what TIN the provider uses. Assume patient sees Dr A in California and the 2 years later Dr moves to New York and same patient is seen. Its still established. Group practice (defined by TIN) only comes into play when its a different physician.

 

[poshley203646]

Patient is new to Chiropractor but established with other providers in same facility would that be a new patient visit for the chiropractor?

 

[Agilbert3]

Patient is new to Chiropractor but established with other providers in same facility would that be a new patient visit for the chiropractor?

In this case, the patient would be new to the chiroprator IF the other physicians have different specialties and/or subspecialties.

 

[Chelle-Lynn]

This has been a helpful guidelines for our office.

A new patient is one who has not received any professional services from:
· The physician/chiropractor or another physician/chiropractor
· Of the exact same specialty and subspecialty who belongs to the same group practice,
· Within the past three (3) years.

An established patient is one who has received professional services from:
· Thephysician/chiropractor or another physician/chiropractor
· Of the exact same specialty or subspecialty who belongs to the same group practice,
· Within the past three (3) years.

Examples:
· Patient was seen by a Pediatrician and returns to see either the same or different Pediatrician within the past 3 years at the same practice; the patient would be an established patient.

· The same patient comes back to see an Orthopedic provider within 3 years from seeing thePediatrician. The patient is considered a new patient since the Orthopedic provider is a different specialty from the Pediatrician.

· A patient sees a Dr. Green and then sees Dr. Brown at the same office; different provider but same specialty; within the past 3 years, the patient would be an established patient.

· A patient sees an Orthopedist for the first time on Tuesday and the next day goes toa Family Practice Physician. The patient would be a new patientvisit for both clinics since they are seen by different specialties.