AAPC - Back to school
Results 1 to 2 of 2

Thread: Establishing Care

  1. #1

    Default Establishing Care

    AAPC: Back to School
    We have a provider that wants to bill for an office visit of some kind when he speaks with a parent who would like to meet/speak with him before choosing him as a physician for her children. Is there anything he can bill for?

  2. #2
    Join Date
    Apr 2007
    Dover Seacoast New Hampshire


    I've worked in some practices that have charged a minimal "meet & greet" visit charge for this scenario, which the parents would pay at the time of visit. Without a chief complaint or illness/condition, you aren't going to meet your medical necessity guidelines, and most payers will not reimburse for visits that they consider administrative. Some payers won't cover if the provider doesn't see the patient face-to-face, either. You certainly can charge a regular office visit, and ask the parents for the payment at the time of visit, with their understanding that their insurance likely won't cover. Not a great start, when you're trying to solicit new business. Because of this, our facility considers these types of visit a "cost of doing business", and we don't charge for them. It's a great marketing tool, and causes no headache for our billers.

    Hope this helps. Pam
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

Similar Threads

  1. What is the best ICD 9 to bill for establishing care
    By pamelat in forum Diagnosis Coding
    Replies: 10
    Last Post: 05-28-2015, 05:15 PM
  2. Establishing Care
    By amber2262 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 05-14-2013, 08:40 AM
  3. Establishing Care - new pt exam
    By calexander1265 in forum Pediatrics
    Replies: 3
    Last Post: 10-23-2011, 05:46 AM
  4. Replies: 4
    Last Post: 01-11-2010, 09:47 AM
  5. Replies: 1
    Last Post: 05-08-2009, 02:52 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?


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.