AAPC - Back to school
Results 1 to 2 of 2

Thread: Billing Established Patients for new PA

  1. #1
    Join Date
    Apr 2007
    St. Joseph County, Indiana

    Default Billing Established Patients for new PA

    AAPC: Back to School

    We have a PA that left an existing practice and is starting with our practice in the next few weeks. When his established patients are seen in our office, are they new or established?

    I assumed they would be established but are unsure.

    Also, if the physician wishes to see the new PA's patients first, THOSE PATIENTS would be considered new patients, correct?

    Brock Berta

  2. #2
    Join Date
    Apr 2007


    Changing Group Practices

    What about the physician who leaves one group practice and joins a different group practice elsewhere in the state? Consider Dr A who leaves his group practice in Frankfort, Illinois and joins a new group practice in Rockford, Illinois. When he provides professional services to patients in the Rockford practice, will he report these patients as new or established?

    If Dr A, or another physician of the same specialty in the Rockford practice, has not provided any professional services to that patient within the past three years, then Dr A would consider the patient a new patient. However, if Dr A, or another physician of the same specialty in the Rockford practice, has provided any professional service to that patient within the past three years, the patient would then be considered an established patient to Dr A. Remember, the definitions include professional services rendered by other physicians of the same specialty in the same group practice.

    __________________________________________________ __
    Saw the above in CPT Assistant June 1999

Similar Threads

  1. New or Established Patients
    By mauikidneydisease@mac.com in forum Billing/Reimbursement
    Replies: 3
    Last Post: 02-08-2014, 03:41 PM
  2. new vs established patients
    By kmaher in forum E/M
    Replies: 4
    Last Post: 06-05-2013, 07:15 AM
  3. New/Established Patients
    By jenp2005 in forum E/M
    Replies: 2
    Last Post: 10-13-2010, 07:37 AM
  4. New vs. Established Patients
    By apcarter in forum E/M
    Replies: 2
    Last Post: 04-30-2010, 08:17 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.