Wiki New vs. Est

[jennyleeraasch]

We have a new provider that joined our group. If this provider has established patients who have seen him at his old clinic, but are new to our clinic, is the patient considered established because it's the same provider or new because it is a new clinic? Or does it depend on billing NPI?

 

[midnight1995]

The patient is considered established to all the physicians in the new practice who are of the same specialty and subspecialty. A change in tax id or physical location doesn't change that the patient is established
Noridian Jurisdiction F (Medicare Part B) New Patient vs Established Patient New Patient vs Established Patient Visit - JF Part B - Noridian
- A Providers NPI is used to track if the patient has been seen within the previous 3-years.

 

[jennyleeraasch]

Thank you! I appreciate it!

 

[amyjph]

Here's a fun discussion recently. Question - New vs. Established Patient

This is probably one of the most asked questions. Searching to forums is always helpful for questions.