AAPC - Back to school
Results 1 to 2 of 2

Thread: Family Practice vs. Internal Medicine New or Est.

  1. #1
    Join Date
    Apr 2007
    Fayetteville, North Carolina

    Default Family Practice vs. Internal Medicine New or Est.

    AAPC: Back to School
    We have a multiple specialty practice (OB/Gyn, FP, IM, Peds, GI), 3 clinics but only one tax id number. We have FP providers that have a "home" clinic who do not see patient's at any of our other clinics, but we do have some "specialty" providers that "float" between clinics. These specialties are OB/Gyn, GI and IM. With that here is my scenario and question:

    Patient walks in to the clinic, needs to see a provider for an acute condition, now all the FPs that the patient has established care with are booked. BUT the IM provider that is there that day is availlable, but the patient has not received any professional services from our IM practice. The patient see the IM provider. IS THIS A NEW PATIENT VISIT OR AN ESTABLISHED PATIENT.

    I say it's a new patient visit according to AMA CPT E/M Service Guidelines.

    Stefanie Cramer, CPC
    Sr. Coding Specialist
    Cape Fear Valley Health Systems

  2. #2


    Technically, since they're of different specialties the patient would be new. However, if the only reason the patient is seeing the internist is because they can't get in to see their family practitioner, it might be considered "good practice" to just charge the service as if the patient is established.

    Just my two cents


Similar Threads

  1. Replies: 0
    Last Post: 09-06-2011, 11:49 AM
  2. Replies: 2
    Last Post: 03-24-2011, 04:10 PM
  3. Internal Medicine
    By ella.starr in forum Internal Medicine
    Replies: 1
    Last Post: 08-24-2010, 09:08 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.