I just wanted to get some views on this. Sometimes we see patients for the 1st time and its a sick visit not a physical. So we would bill sick new patient then when patient returns for an ROV next month he is no longer new so we bill established correct? I checked the CPT and it does not distinguish between ROV/SOV only timing. Thanks!
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki new vs established patient
- Thread starter HBULLOCK
- Start date
Monika Liddle
Expert
- Messages
- 355
- Best answers
- 0
new versus established patient
You are correct. Once the patient is seen within your practice they are considered established. Type of visit does not matter.
Per CPT Guidelines
"A new patient is one who has not received any professional services from the physician/qualified health care professional or another physician/qualified health care professional of the exact same specialty and subspecialty who belongs to the same group practice, within the past three years. "
You are correct. Once the patient is seen within your practice they are considered established. Type of visit does not matter.
Per CPT Guidelines
"A new patient is one who has not received any professional services from the physician/qualified health care professional or another physician/qualified health care professional of the exact same specialty and subspecialty who belongs to the same group practice, within the past three years. "
