taps15
Guest
We have a question regarding the new patient vs. established/three year rule for Non-Medicare Patients. It is the same question below that we found on the NGS Medicare website from a teleconference, they had in 2010 and posted it on 3/3/2010 and they gave their reply below.
However, does this apply to non-medicare patients
http://www.ngsmedicare.com/content.aspx?CatID=2&DOCID=21821
New vs. Established/Three Year Rule
We have new physicians joining our practice from other practices. For example, we have a new orthopedist. He saw a particular patient in his previous practice under a different tax ID, within the three year limit. When he sees the patient for the first time within our practice, can we bill it as a new patient?
Medicare's Answer: The new patient rule is based on the physician who renders the service. If this physician has seen the patient within the past three years, even in a different practice, this does not represent a new patient visit.
Remember I would like to know if this is only a Medicare Rule?
Thank you Toni P
However, does this apply to non-medicare patients
http://www.ngsmedicare.com/content.aspx?CatID=2&DOCID=21821
New vs. Established/Three Year Rule
We have new physicians joining our practice from other practices. For example, we have a new orthopedist. He saw a particular patient in his previous practice under a different tax ID, within the three year limit. When he sees the patient for the first time within our practice, can we bill it as a new patient?
Medicare's Answer: The new patient rule is based on the physician who renders the service. If this physician has seen the patient within the past three years, even in a different practice, this does not represent a new patient visit.
Remember I would like to know if this is only a Medicare Rule?
Thank you Toni P