alewis
New
Hello. I have been auditing for years; I audit for a multi-specialty group. I am auditing E/M's and came across a patient encounter-pt hasn't been seen by ANY of our providers-classic new pt visit. The visit doesn't meet the code criteria for any new pt visit (no PE). I need support, documentation, references; should this be considered a non-billable visit or can it be coded as an established pt visit? I've only encountered these scenarios at my current place of employment- I have deemed past E/M encounters non-billable but have not been able to find definitive rules on this subject.