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New doctor established patient

  1. #1
    Location
    Johnson City, TN
    Posts
    11
    Default New doctor established patient
    Medical Coding Books
    Hi, I know this a basic e&m question but... A new Doctor came to our clinic and saw for the first time an established patient from a retired doctor from here. is the visit an established or new patient.

    Thanks Mike.
    ps I do surgery coding not office.

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    This is an established patient. In the MDM you would use new problem to examiner (under number of diagnoses or treatment options).
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    If the patient has been seen within the last three years...established.

  4. Default
    Quote Originally Posted by Mike Greer View Post
    Hi, I know this a basic e&m question but... A new Doctor came to our clinic and saw for the first time an established patient from a retired doctor from here. is the visit an established or new patient.

    Thanks Mike.
    ps I do surgery coding not office.
    Hi Mike, E&M guidelines; A new patient is one who has not recieved any professional services from the physician of the same specialty who belongs to the same group practice, within the past three years. Applies to all patients with the exception of ER/ED patients.

  5. #5
    Default
    It looks like your new doctor is of the same specialty as your retired doctor and your patient has been seen within the last 3 years. That would be an established patient (remember to credit new problem in MDM since the new MD is not yet familiar with the case). However, if this new provider is credentialed for a different specialty than the retired one, that may change things, depending on the specific situation. Also, if nobody in your practice has seen this patient in over 3 years, that would make him/her a new patient.

  6. #6
    Location
    Johnson City, TN
    Posts
    11
    Default Thanks
    Thanks, its been almost 2years since the "TEST" and I forget

    Mike

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