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Thread: New versus new for 2012????

  1. #11
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    Quote Originally Posted by Pam Brooks View Post
    This is good news, right? Before...if they were in the same practice and of the same specialty (ortho) they had to be established. Now that the decision tree has grown another branch....we're able to bill a new patient for a different sub specialist in the same practice setting.

    ajs---that's how I interpreted it as well.

    Deb, I can scan those pages of CPT to your email if you'd like (send me a PM).
    Thanks Pam Will do

    Debra A. Mitchell, MSPH, CPC-H

  2. #12
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    Quote Originally Posted by Pam Brooks View Post
    This is good news, right? Before...if they were in the same practice and of the same specialty (ortho) they had to be established. Now that the decision tree has grown another branch....we're able to bill a new patient for a different sub specialist in the same practice setting.

    ajs---that's how I interpreted it as well.

    Deb, I can scan those pages of CPT to your email if you'd like (send me a PM).
    The more I read it, I think you're right. I hope so, anyway.

  3. #13
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    Default Nitpicking here, but...

    Does it read "specialty AND subspecialty" or "specialty OR subspecialty"? This is crucial, especially as it applies to Rebecca's question. I am interested because we are struggling with payers over our critical care coding and whether the hospitalists and intensivists are the same "subspecialty" or not.

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    2016 Secretary
    Ellenville, NY Local Chapter

  4. #14
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    Quote Originally Posted by MnTwins29 View Post
    Does it read "specialty AND subspecialty" or "specialty OR subspecialty"? This is crucial, especially as it applies to Rebecca's question. I am interested because we are struggling with payers over our critical care coding and whether the hospitalists and intensivists are the same "subspecialty" or not.

    Hi, Lance. It reads "specialty and subspecialty". The decision tree on the following page illustrates a new patient visit can be billed if the provider is of a different subspecialty. I'll forward those pages to you. Pam
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  5. #15
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    Quote Originally Posted by MnTwins29 View Post
    Does it read "specialty AND subspecialty" or "specialty OR subspecialty"? This is crucial, especially as it applies to Rebecca's question. I am interested because we are struggling with payers over our critical care coding and whether the hospitalists and intensivists are the same "subspecialty" or not.
    We're having the same issues. Margie Scalley Vaught is attending the AMA Symposium next week. She stated she was going to find out more details and let us know.

  6. #16
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    Default Thanks!

    Quote Originally Posted by Pam Brooks View Post
    Hi, Lance. It reads "specialty and subspecialty". The decision tree on the following page illustrates a new patient visit can be billed if the provider is of a different subspecialty. I'll forward those pages to you. Pam
    Got them - thanks for the quick response!

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    2016 Secretary
    Ellenville, NY Local Chapter

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