decisionhealth Newsletters, Coder Pink Sheets - 2002 Issue 11 (November)
New Patient
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Article Overview
This article covers how new-patient status is determined for office billing purposes, with discussion tailored to gastroenterology and Medicare specialty-group interpretation. It is useful for coders, billers, and practice staff who need a clearer understanding of patient status classification and related evaluation and management coding context.
Why This Topic Matters
Patient status affects evaluation and management code selection and can change how a visit is classified for billing. Understanding the payer and group-practice definition helps reduce registration and coding errors.
What You Will Learn
- How new-patient status is defined for billing purposes
- How prior services within a group can affect patient classification
- How specialty grouping is viewed in the gastroenterology setting
- How the time interval since prior care affects status classification
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Gastroenterology staff
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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