Medicare Compliance & Reimbursement - 2007 Issue 2
CLIP & SAVE: Here's the Quick Way to Find Out if the Patient Is Really New
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Article Overview
This short coding reference explains a structured AMA approach for distinguishing new versus established patients. It is aimed at coders, billers, and practice staff who need a quick way to review prior service history, physician specialty relationships, and group identifiers before selecting the appropriate patient status. The article also points readers to the AMA/CPT source material where the underlying flowchart appears.
Why This Topic Matters
Correctly classifying patient status affects evaluation and management coding workflows and helps avoid inconsistent reporting when multiple physicians, specialties, or group relationships are involved.
What You Will Learn
- How the article frames the review process for determining patient status
- Which broad factors are considered in the AMA guidance
- Where the referenced flowchart is located in the CPT source material
- How the article distinguishes the general concepts involved in new versus established patient review
Who Should Read This
- Medical coders
- Medical billers
- Physician practice staff
- Compliance staff
- Revenue cycle professionals
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