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subsequent visit-new physician seeing patient

  1. Default subsequent visit-new physician seeing patient
    Medical Coding Books
    Patient being followed by XYZ specialty for hospital days 1-4 all by Dr A. On hospital day 5, Dr. B of XYZ specialty sees the patient. Is this considered 'new problem to examiner' or would this just be established problem?

    I do this everyday, not sure why today I am second guessing myself but any input is appreciated.

    Last edited by renifejn; 02-01-2010 at 09:47 AM.

  2. Default subsequent visit-new physician seeing patient
    Dr B would be considered a subsequent - same specialty for same problem for Day 5 - Hope this helps!

  3. #3
    I personally would rather it be new to examiner but I can say that our Medicare carrier WPS states that all providers in the same group/same specialty are seen as the same individual so this would be an established problem.

    Laura, CPC, CPMA, CEMC

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