jessicawrenn
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Hi! Our office has new patients schedule for fasting lab work and then schedule for a later date for a new patient appointment. This way, our office has their lab results back to discuss a treatment plan at the new patient appointment. On lab work appointments, no E/Ms are billed, only the veinpuncture and the appropriate lab tests. For the new patient office visit, a new patient E/M code is billed.
I received a letter today where insurance is trying to recoup payment for the new patient E/M stating that patient is not new, but established. These patients are new to the practice and have not been seen by a provider! Per my code books, a new patient E/M is correct. Have any of you encountered this before? What's the correct answer? Thanks in advance!
I received a letter today where insurance is trying to recoup payment for the new patient E/M stating that patient is not new, but established. These patients are new to the practice and have not been seen by a provider! Per my code books, a new patient E/M is correct. Have any of you encountered this before? What's the correct answer? Thanks in advance!