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Hospital Stay and then a new pt visit in the office?

  1. #1
    Question Hospital Stay and then a new pt visit in the office?
    Exam Training Packages
    I am currently doing billing for a new Pulmonologist who moved into the area. He is being summoned to the Hospital for consults, then the patient will see him later in his office. He is wanting to charge a consult or initial visit for the hospital charge, and then when he sees the patient in his office he wants to charge a new patient visit. I did not think this could be done. Anyone have some info they can share with me on this situation?

  2. #2
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    If the Physician has seen the pt with in the last three years they are not considered new.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Location
    Coeur d'Alene, Idaho
    Posts
    15
    Default
    Yes the patient would be considered established if the physician or anyone in his medical group has seen the patient within the last three years.
    Casey Hamilton, BA, CPC

    Providence Physician Services
    Spokane Valley, WA

  4. #4
    Default new pt
    Quote Originally Posted by Kellyj0h View Post
    I am currently doing billing for a new Pulmonologist who moved into the area. He is being summoned to the Hospital for consults, then the patient will see him later in his office. He is wanting to charge a consult or initial visit for the hospital charge, and then when he sees the patient in his office he wants to charge a new patient visit. I did not think this could be done. Anyone have some info they can share with me on this situation?
    Here's an article that explains it very well. See what you think.

    http://www.aafp.org/fpm/20030900/33unde.html
    Anna Weaver, CPC, CPMA, CEMC
    Associate Auditor

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