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new patient vs est. patient

Aida Posted Tue 13th of January, 2015 11:00:06 AM

my question is can I advise the provider when they document to bill an 99213 (est. patient)which is incorrect and we should be billing 99203 (new patient).. Because the patient is a new to the office.

Please advise.

SuperCoder Answered Tue 13th of January, 2015 12:45:25 PM

Thanks for your question. Can you please clarify your question so that we can provide you with an appropriate answer? Are you stating that your provider is billing established when a new patient visit should be billed?

Aida Posted Thu 15th of January, 2015 11:09:17 AM

the note states " first time to clinic", when I receive the charges the 99213 is circle instead of the 99203.. Can I (has the biller) advise them of the mistake before entering the charges and billing it to the insurance... Please advise....thanks

SuperCoder Answered Thu 15th of January, 2015 11:52:29 AM

Thanks for the clarification. You should advise your provider of any discrepancies that you find before sending out a claim. An open line of communication is an important part of the provider/coder/biller relationship.

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