AAPC - Back to school
Results 1 to 7 of 7

Thread: New problem or est. prob

  1. #1

    Default New problem or est. prob

    AAPC: Back to School

    Pt was seen over 3 yrs ago for psoriasis, we have not seen himm since then. He wants to start treatment again, "new patient, new problem" or "new patient, established problem"?



  2. #2

    Smile New patient

    I would say new patient, established problem

  3. #3
    Join Date
    Apr 2007


    I say new patient new problem.

    Since the patient meets the requirements to be considered new again, so do all his issues.

    Just my take on it,

    Laura, CPC

  4. #4
    Join Date
    Apr 2007
    Duluth, Minnesota


    I agree with Laura, "new pt/new problem"
    Donna, CPC, CPC-H

  5. #5
    Join Date
    Apr 2007
    St.Petersburg, Fl


    It is definitely new patient/new problem...it's the 3 year rule. Even if the patient has been there in the past for the same problem, but he hasn't been there in 3 years he is treated as a new patient.
    Alecia Peck CPC

  6. #6


    I agree! The three year rule applies.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  7. #7


    Thanks everyone for your responses! Happy New Year!


Similar Threads

  1. Est. problem vs. New Problem
    By torih@nwurology.com in forum E/M
    Replies: 3
    Last Post: 10-14-2016, 08:23 PM
  2. New vs. est problem
    By VRMoran in forum Auditing General Discussion
    Replies: 3
    Last Post: 10-14-2016, 08:20 PM
  3. est. verses new problem
    By Kristene in forum E/M
    Replies: 3
    Last Post: 10-10-2014, 12:54 PM
  4. Est prob but pt not seen in >3 yrs
    By prmiller in forum Auditing General Discussion
    Replies: 0
    Last Post: 10-16-2012, 07:07 AM
  5. New Problem vs Est. Problem
    By scronkhite in forum E/M
    Replies: 2
    Last Post: 07-07-2009, 02:30 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.