While you could get paid by insurance without any problems for a new visit, that would not be the correct way.
CPT does not specify who has to pay for the service when defining new vs est. They just state that a new patient has not received any professional services from the physician or another physician of the same specialty in the same group practice.
So even though insurance didn't pay for it, there were professional services provided.
Just my take on it,
Laura, CPC, CPMA, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join