Every audit tool I've seen and/or used, and every Webinar or workshop I've attended on Auditing says new problem "to examiner", not to the patient. If the problem is new to the examiner, it makes sense that it's a higher degree of medical decision making, to my mind. I deal with both Noridian and WPS for Medicare, and of course multiple insurance companies, who all say new to the examiner.
I did check the 95 and 97 DG's, and they don't specifically say; but the audit tools from NAMAS, Decision Health, and Trailblazers all say "to examiner" for the new problems.
I hope this helps!
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