Wiki What are "professional services"...

[MnTwins29]

...when determining new or established patient? Scenario: first visit by a patient to practice was for flu shot only, billed only with the vaccine and admin codes, under Dr. A. using a group NPI. Patient comes back for sick visit in April. Dr. A is no longer with group, seen by Dr. B. Drs. A and B are of the same specialty. Dr. B coded as a new patient - I maintain that this is an established patient as pt has received services under group NPI. Who is correct?

 

[pamasbury]

a professional service is a face-to-face service rendered by a physician

 

[Page42]

You are correct. The patient is only 'new' to the new MD. He/she must honor the patient's status with the practice.