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New vs Est E/M

  1. Default New vs Est E/M
    Medical Coding Books
    I have a Federally Qualified Health Center that closed their doors due to loss of funding. They re-opened a few months later under the same 'facility' or group but a different physician will be seeing those patients for the first time. This physician was not affiliated with this facility prior to the closing of the facility. Are these patients new or est? Thanks for any opinion and if you have any reference regarding this it would be greatly appreciated. Deb

  2. #2
    If they were seen by a provider of the same specialty as the current provider at that group within the past 3 years they are established.

    If this provider is a different specialty then they would be new unless he brought them with him from another practice.

    Patients can be established in 2 different ways. They can be established with the specialty/group or the individual provider.

    Laura, CPC, CPMA, CEMC

  3. Default Thanks
    Thanks. It does make sense to think of it as new or est with group or with physician.

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