Wiki Est. problem vs. New Problem

[torih@nwurology.com]

If a patient hasn't come into the clinic for more than 3 years, I understand that they are considered a new patient. However, is the problem they are coming in for, which has been addressed in the past, be considered "new" to the provider or an "established" problem in regards to MDM?

Thanks!
Tori

 

[Naveen Rachagolla]

New or Est problem

A new problem being new to the patient or new to the provider If the problem is new to patient even though the patient is established Patient, it is still counted as new problem three points without any additional work, if the physician or the doctor is seeing that problem for the first time in a patient.

If the physician is seeing the problem for the second time or a follow-up is made because of the established problem then it is considered as established problem based on the conditions whether it is stable one point or worsening two points.

 

[LLovett]

If the patient is considered new so is any problem they have.

You can't have an established problem with a new patient.

Laura, CPC, CPMA, CEMC

 

[jimifetil]

A new problem being new to the patient or new to the provider If the problem is new to patient even though the patient is established Patient, it is still counted as new problem three points without any additional work, if the physician or the doctor is seeing that problem for the first time in a patient.

If the physician is seeing the problem for the second time or a follow-up is made because of the established problem then it is considered as established problem based on the conditions whether it is stable one point or worsening two points.

What if the acute problem is resolved (e.i UTI, URTI etc) and it recurrent within 3 years, is this still consider est problem or new problem?