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new vs established

  1. Question new vs established
    Medical Coding Books
    Scenario: Rheumatologist joins an Orthorpaedic group. Would the patients already established at the ortho group be new or est to the rheumatologist that joins the practice? I have found information concerning how to bill the patients that follow the rheumatologist to the ortho group. But can't seem to find a clear explaination for patients already at the ortho group who then see the new rheumatologist. Any suggestions? She bills with the same TIN as the ortho group docs.

  2. #2
    Evansville Indiana
    Default New
    Different specialty equals new patient. If not seen by that specialty in that office, or that particular physician in any office for last 3 years the patient would be new to that physician.

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