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Thread: What are "professional services"...

  1. #1
    Join Date
    Apr 2007
    Carmel, New York

    Default What are "professional services"...

    AAPC: Back to School
    ...when determining new or established patient? Scenario: first visit by a patient to practice was for flu shot only, billed only with the vaccine and admin codes, under Dr. A. using a group NPI. Patient comes back for sick visit in April. Dr. A is no longer with group, seen by Dr. B. Drs. A and B are of the same specialty. Dr. B coded as a new patient - I maintain that this is an established patient as pt has received services under group NPI. Who is correct?
    Last edited by MnTwins29; 08-03-2011 at 11:40 AM.

  2. #2


    a professional service is a face-to-face service rendered by a physician

  3. #3


    You are correct. The patient is only 'new' to the new MD. He/she must honor the patient's status with the practice.

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