Marina Posted Tue 26th of November, 2013 15:47:41 PM
Dr A closed down his practice. He then decided to join a group practice of a different entity and is now an employee at this new group. If Dr A see's one of his previous patients at this new group location that he has joined billing under the group tax id number, can he bill a new patient e&m code even if it's only been a year since he last seen this same patient at his old practice?
SuperCoder Answered Tue 26th of November, 2013 17:48:30 PM
Please see the Decision tree for new vs. established patients on page 5 of the CPT book. Looking at that, it looks like if he see's former patients who he has seen in the last 3 years, they are established patients of his.