decisionhealth Newsletters, Coder Pink Sheets - 2003 Issue 3 (March)
Medicare updates MCM definition of “new” patient
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Article Overview
This article covers a Medicare manual update clarifying how the program defines a “new” patient and how that policy compares with the CPT approach. It is relevant to coding, billing, and compliance professionals who work with evaluation and management services and need to track changes in Medicare guidance. The article also points readers to where the updated manual language can be found on the CMS website.
Why This Topic Matters
Patient status affects evaluation and management code selection and claims processing, so changes in Medicare guidance can influence coding consistency and compliance. Understanding the updated manual language helps organizations align Medicare billing practices with current policy.
What You Will Learn
- How Medicare revised its guidance on patient status
- How the update relates to CPT’s approach
- Where the updated Medicare manual language can be found
- What kinds of prior encounters are discussed in the policy context
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance professionals
- Practice managers
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