Wiki New vs Establish E/M for same provider with new practice

[salehap@skypointmed.com]

Hi,

If someone can shadow a light over E/M correct coding for following scenario.

If provider 'A' joins a new group and patient follows provider 'A' for visit, this patient is new to the practice, new tax ID but provider individual NPI is same. Does this consider as new visit?

Appreciate the help.

 

[ntreber]

The patient is considered established. A new patient is on that has not received professional services from a provider with in the last 3 years. Since the patient saw the provider at their previous practice the are an established to the provider even though he is at a different practice or clinic.