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New vs Established for Midlevel Providers

  1. #1
    Default New vs Established for Midlevel Providers
    Medical Coding Books
    How does Emergency Medicine fit in with the new vs established patient rules? Many times providers in the ER or Walk-In depts are Internal Medicine or Family Practice providers but their speciality is Emergency Medicine. What if a patient went to the ER and saw an Emergency Medicine provider that is board certified in Internal Medicine and then needed to follow up with a primary care provider. The patient doesn't have a primary care provider so he is seen by a Physician Assistant who works in the Internal Medicine department at the same facility as the ER. Would the visit with the PA be established or new?

  2. #2
    Location
    First Hill, Seattle WA
    Posts
    65
    Default Group Practice
    Check out this article for further info on New vs Etablished.

    The AMA standard and professional editions of the CPT book have a decision tree in the
    front of the E&M section that can guide you through this process.

  3. #3
    Location
    First Hill, Seattle WA
    Posts
    65

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