New patient comes in for shoulder pain and sees a PA. PA orders an MRI for further evaluation. MRI shows rotator cuff tear. The PA calls the patient with the results and recommends surgery. An appointment is set up to meet the physician and also have an H&P on the same day with the PA.

I know I cannot bill for the H&P pre-op but because the patient is meeting the MD for the first time and seeing the PA for his/her H&P on the same day, can I bill an established patient charge for the MD?????

Thanks for your help!!!