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Thread: New patient vs established patient

  1. #11
    Join Date
    Apr 2007
    Kansas City MO

    Default New vs Established

    AAPC: Back to School
    Another scenario that needs to be remembered:
    Ima Payne sees Dr. A as a regular patient. Ima hs numerous medical problems and when Dr. A goes for an extended vacation, he asks Dr. B (DIFFERENT PRACTICE) to take care of patients in his abscence. Ima is referred to Dr. B when there is a problem that needs attention. Dr. B should bill Ima's visit as an established patient since he is "on-call" for Dr. A.

  2. #12


    Our doctor sees patients in the hospital for stress echos and stress tests, does that make them established when they are seen in the office after the test?

  3. #13
    Join Date
    Apr 2007
    Milwaukee WI

    Default Established, Established, Established

    Forget about WHERE. Makes no difference where you have provided services in the past.

    If a patient has received ANY face-to-face service from the same provider -OR- ANY provider with the same specialty and same practice within the last three years, that patient is now an established patient.

    This is really a pretty simple rule.

    F Tessa Bartels, CPC, CEMC

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