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OB/GYN a specialty

  1. Question OB/GYN a specialty
    Clearnace Sale
    I need some input from other coders on an interesting topic that has come forward in the multi-specialty clinic that I work at. I have been told to inform our obstetric/gynecology department that they are not considered a specialty. Thus if a patient has been seen in family practice and then sent over to OB/GYN for a specific problem (ie. ovarian cyst) they would be considered an established patient even though the OB/GYN department has never seen them before.

    Can anyone help me with this situation? As of current the OB/GYN dept. has always been looked at as a specialty and not primary care.

  2. #2
    Milwaukee WI
    Default Specialty is a PHYSICIAN designation
    The individual physician must be credentialed with a particular specialty. If a physician of Family Practice specialty refers a patient to a physician of OB/GYN specialty the OB/GYN physician may code a new patient visit (as appropriate).

    It makes no difference how the CLINIC is designated. The important difference is how the DOCTOR is credentialed.

    Family Practice
    Internal Medicine
    All above are separate and distinct specialties.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. Default
    I think the issue of the OB/GYN department of your clinic being a "specialty" or not depends on the payer...for instance in our OB/GYN clinic, when it comes to what copays to charge a patient, some payers consider us a specialty and some do not...As for what Tessa said about whether a patient is considered "new" or not, that sounds absolutely correct to me

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