Question

How do you know if a patient is new or established?

2. How is the information obtained different for a new patient vs an established patient?

3. A patient saw an orthopedic surgeon, Dr. Smith, at Orthopedic Associates in May 2015. That was the first time he went to that clinic. He then saw Dr. Anderson, also an orthopedic surgeon at Orthopedic Associates in June 2017. Would this patient be considered new or established for the visit with Dr. Anderson in June 2017? ____

4. Amy saw Dr. Jones, a Neurologist at the Center for Medical Excellence. She had never been there before. Three months later, Amy presented again at the Center for Medical Excellence. This time she saw Dr. Cole, a gynecologist. Would Amy be considered a new or established patient for her visit with Dr. Cole? _____

Answer 1

New or established services are mainly used IN Evaluation and management service.

1) Individual who doesn't receive any professional services, Evaluation and management services or other face to face services by the same physician or other group of physician belonging to same speciality or sub speciality within the previous 3 years is consider as New patient.

Individual who has received any professional services, Evaluation and management services or other face to face services by the same physician or other group of physician belonging to same speciality or sub speciality within the previous 3 years is consider as Established patient .

2) New patient codes requires all three components history collection ,physical examination , medical decision making and typical face to face minutes.Established patient codes need to meet any two out of three key components.

3) Patient visit is considered as established.

4) is a New patient visit