i know all about the 3 year rule and about the speciality rule, but when it says " a patient is considered established if they have seen a physician in that same specialty within 3 years" does it mean ONLY that specialty ?? i work in a hospital. So if a patient is seen in OB/GYN then in Opthalmology would they be new patient of established because they were seen by another specialist in that group ? i was told since we are a group then all specialties are treated the same, you are only new patient if you haven't seen any type of specialist in our group, regardless of what type of specialty.. im starting to get confused !!