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Thread: New problem to examiner

  1. #1
    Join Date
    Apr 2007

    Default New problem to examiner

    AAPC: Back to School
    Ok if you have a patient that was seen by Dr. X last week for Bronchitus and sees Dr. Y this week same problem. Patient still has it....Dr. Y and Dr. X work in the same practice would you consider this an established problem to the examiner or a new problem to the examiner?

  2. #2
    Join Date
    Apr 2007


    Per CMS if they are same group/same specialty they are the same provider, ie it would be an established problem. If they were different specialties, ie one was urgent care the other internal medicine, then it would be a new problem to the examiner.

    I don't personally agree with this and I don't know what other carriers take on it is.

    Laura, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    Thanks for the help Laura.

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