Results 1 to 7 of 7

New Patient Office Visit?????

  1. #1
    Location
    Harrisburg, PA
    Posts
    38
    Default New Patient Office Visit?????
    Exam Training Packages
    Physician reads a pulmonary function test prior to seeing patient in the office. Patient comes in to office one week later for their first appointment with the same physician. Physician never saw patient before until the office visit. Is this a new patient office visit?

  2. Default
    yes it is

  3. Default New Patient Office Visit
    This is not necessarily a new patient office visit. The question you need to ask is, "Is this patient new to the office not new to this particular doctor?" If this patient has been seen in the office by a different doctor prior to this visit it is not a new patient office visit.

  4. #4
    Location
    Harrisburg, PA
    Posts
    38
    Default
    Patient was new to the practice and doctor. My real concern is the fact that we already billed under the physician name for the professional component of the pulmonary function test.

  5. #5
    Default
    My understanding of this is that if he read the pulmonary function test, but never saw the patient face-to-face, then as you indicate the patient is new to the practice and new to the physician. If he had in fact saw the patient, then read the PFT, then the patient would be established. determining factor is face-to-face. This is a good article that explains it. http://www.aafp.org/fpm/2003/0900/p33.html Also see if you can open this PDF. It's also good. [PDF] • New vs. Established Patient Codes • New Patient Codes ...
    Anna Weaver, CPC, CPMA, CEMC
    Associate Auditor

  6. #6
    Location
    North Carolina
    Posts
    3,126
    Default
    New patient if:

    -Only read and interpreted the results
    -No face to face encounter
    -Never saw this physician or a member of his specialty practice, previously, within the last 3 years...

  7. #7
    Location
    Harrisburg, PA
    Posts
    38
    Default
    Thanks for the information. The article was very helpful.

Similar Threads

  1. Replies: 21
    Last Post: 06-09-2017, 07:41 AM
  2. New Patient Physial and New Patient Office Visit
    By vannessam in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 11-20-2013, 09:54 AM
  3. New patient Office visit
    By joyce in forum Auditing General Discussion
    Replies: 3
    Last Post: 08-05-2013, 03:11 PM
  4. Replies: 5
    Last Post: 02-23-2012, 12:31 PM
  5. office visit w/o patient present
    By kathleenl in forum E/M
    Replies: 3
    Last Post: 02-15-2012, 02:05 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.