Medicare Compliance & Reimbursement - 2017 Issue 4
Reader Question: Established Patient Moves With Physician
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Article Overview
This article addresses a practice-management and coding question about new versus established patient status when a surgeon changes practices. It explains the general scope of the issue using CPT terminology and discusses how prior professional services, same-specialty grouping, and time frame concepts affect patient classification. The content is useful for coders, billers, and practice staff who need to understand how patient status is determined across locations and groups.
Why This Topic Matters
Correctly identifying patient status affects evaluation and management coding workflows and helps practices apply CPT patient-type rules consistently when physicians move between organizations.
What You Will Learn
- How the article frames the new-versus-established patient question
- What general CPT patient-status concepts are discussed
- How physician moves between practices can affect patient classification
- Why group practice and specialty context matter in patient status determinations
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician office staff
- Surgeon groups
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