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Question about billing after urgent care visit

S

sghrist

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Location
Overland Park, KS
Our ortho docs see patient's in urgent care and then they will follow up in our office. Billing for urgent care is under a different tax ID than our practice. Would that patient be established or new when they visit our office. I get denied if I bill new but have a physician that feels it should be billed as new. Any help would be appreciated, also if anyone has anywhere to find the documentation of this it would be greatly appreciated.
 
once the provider sees the patient in any setting, that makes them an established patient. You can find this in the medicare manual just search under new patient criteria.
 
In addition to any setting, under any specialty/practice/TIN even if say provider saw patient in 2 different states. Specialty and practice only come into play when its a different physician.
 
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