I work for a multi-specialty clinic (4 specialties) so it is not on the same scale as you but we bill a patient as a new patient if the patient has not seen one specialty in the past 3 years but has seen another. For example: A patient is a regular patient for our cardiologist but starts having GI symptoms and is referred to one of our GI docs. The patient has never seen one of our GI docs so we bill that patient as a new patient. Hope this helps!
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