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Wiki New vs Est patients

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lajames

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I work for a group of pediatricians. We recently acquired another four Drs from another practice . I realize that the patients who follow these docs would be established. What if one of our existing Drs sees a patient that follows the Drs we acquired?
Would they be new or established?
Thank you for any advise!
 
Hi there, the general rule is that if the doctors are all of the same specialty and subspecialty the patient is established.

However, even if there are different sub-specialties you need to make sure the payer recognizes subspecialty.
 
If they are all billing under the same tax id then the patient is not considered "new" until 3 full years have passed without the patient being seen if it is within the same specialty.
 
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