• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki New vs. Established pts

Create Wiki
J

JulieCzyzewski

New
Messages
8
Location
Dunkirk, NY
Best answers
0
If you have a new provider join your practice and he sees a pt that he saw at his previous office within the past three years is this a new or established pt? Same specialty for both visits.
 
This would be an established patient

The rule states that if the physician (or other qualified healthcare provider) performs professional face-to-face services within the past three years, it is an established patient. It doesn't mention where the patient was seen, or the TaxID the services were billed under now or previously.

Usually it's tied/tracked by the rendering provider's NPI number (vs group TaxID). The provider's individual NPI number usually remains the same, even if the change groups or locations.
 
You must log in or register to reply here.
Top