Our office is starting to see M.D.'s seeing New Patients for their Yearly Exams, charging for the yearly and then also charging an E&M level (new Pt) for a problem that is found. We're seeing an insurance company denying the E&M because it wasn't coded as an established visit. We're being told not to charge both as "new". The Yearly is supposed to be charged as a New Pt visit and then the E&M as "Established". Has anyone else seen this and is there a rule to follow or is this rule probably insurance company specific?
Judy V Minneapolis, MN
Judy V Minneapolis, MN