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Thread: Dr leaving

  1. #1
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire

    Default Dr leaving

    AAPC: Back to School
    We have a Dr who's practice is closing, Internal Medicine. Pt transfers to Family practice within the same Tax id. Because this is a different speciality, wouldn't the pt be new? CPT states "A new pt is one who has not rec'd any professional svcs frm the Physician or another physician of the SAME SPECIALTY who belongs to the SAME GROUP practice within the past 3 yrs." I say pt is new but am not getting favorable conversations. Thanks for your help.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  2. #2
    Join Date
    Apr 2007

    Default check nppes first

    As long as per the nppes registry one doctor is listed as family medicine and the other is internal medicine - these are different specialties therefore the patient could be considered new. However, be aware that the patients will probably complain about being billed as a new patient when they've been to the practice before.
    Lori Cox, MBA, CPC, CPMA, CPC-I, CEMC
    Coding Team Leader
    MedKoder | Medical Coding With Financial Peace

    2015-2018 AAPC National Advisory Board Member

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