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New patient vs established patient

  1. #11
    Kansas City MO
    Default New vs Established
    Medical Coding Books
    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. Default
    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
    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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