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New provider

  1. #1
    Location
    Harrisburg, PA
    Posts
    14
    Default New provider
    Medical Coding Books
    We have recently acquired a new Urologist. He is seeing some patients that he has seen at his last practice. Would these be billed with a new or established E&M through my office?

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by adweaver View Post
    We have recently acquired a new Urologist. He is seeing some patients that he has seen at his last practice. Would these be billed with a new or established E&M through my office?
    If the patient has seen this provider within the last 3 years, they are considered established.

    When you change practices

    Consider this scenario: Suppose you leave the practice where you have been working for a number of years to join a new group in a nearby community. Some of your patients transfer their care to the new practice and see you within three years of their last visits. You would report these encounters using an established patient code because, although you are practicing in a new group, you have provided professional services to the patient during the last three years

    http://www.aafp.org/fpm/2003/0900/p33.html

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