tci Medicare Compliance & Reimbursement - 2012 Issue 5

Part B Update: Despite CPT® Revision, Medicare Won't Update 'New Patient' E/M Rules for 2012

Plus: Claims reprocessing has completed, so make sure your claims have been corrected.As many veteran coders are aware, just because CPT® makes a change, you aren't guaranteed to see Medicare follow suit. That's the case with the latest "new vs. established" patient definition that CPT® 2012 published, which won't have much impact on Part B claims, CMS reps said during a Jan. 24 Open Door Forum. Background: CPT® 2012 states, "A new patient is one who has not received any professional services from the physician or another physician of the exact same specialty and subspecialty who belongs to...

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