Results 1 to 3 of 3

New Patient?????

  1. #1
    Default New Patient?????
    Medical Coding Books
    Dr. A recently joined our group from another practice. It is within the same specialty. If Dr. B, one of our group docs, sees a patient that is new to Dr. A's new group, is the patient considered new? I understand that if they see Dr. A, they would be considered established, but in the instance above, would they be considered new since Dr. B has not seen them?

  2. Default
    if dr A is billing under a new tax id# and new practice(even if it is within the same specialty) then I would think that the patient would be considered a new pt

  3. #3
    Milwaukee WI
    Default They are established patients
    Any of Dr A's patients that follow Dr A to the new practice are considered ESTABLISHED patients (as long as Dr A has seen them within the previous 3 years). Even if they wind up seeing Dr B in the new practice because Dr A is not available, they are considered established.

    Ditto for any of the established patients of the practice, and Dr A (who is new to the practice and has personally never seen these patients before) sees them ... they're still established.

    The rule is a patient is established if the patient has been seen by the provider or any other provider of the same practice and same specialty within the last three years.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 10-21-2010 at 11:16 AM.

Similar Threads

  1. Replies: 10
    Last Post: 04-27-2017, 07:14 AM
  2. new patient vs established patient guidelines in a SNF-please help
    By CTRAVIS in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-27-2014, 08:46 AM
  3. Hospital In patient and out patient coding trainer required
    By meeramohanakrishnan in forum Job Postings
    Replies: 0
    Last Post: 09-20-2011, 06:58 PM
  4. Replies: 2
    Last Post: 06-16-2011, 07:13 AM
  5. how to code a patient visit when the patient is seen by two physicians
    By lnaschke in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-25-2009, 09:39 AM

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.