Billing Rules
We have a multispeciality group under one tax ID number. Can we bill for a new patient service if the patient has been seen by another specialist within the group?
Question: We have a multispeciality group under one tax ID number. Can we bill for a new patient service if the patient has been seen by another specialist within the group?
Answer: According to CPT, "A new patient is one who has not received any professional services from the physician OR another physician of the SAME specialty who belongs to the same group practice within the past three years."
So, yes, you may be able to count a patient as a new patient even if he has been to the group in the past three years, provided that his visit was to a physician in a different specialty.
The Role of Third-Party Financing in the Health and Wellness Payment Landscape
April 17th 2025"How patients access and seek out health and wellness care continues to evolve amid growing costs and a changing healthcare landscape – and communication around payment options continues to impact how patients select their provider. In this whitepaper, Synchrony shares new data on the vital role alternative payment options have on patient decisions, and how providers can strengthen their financial offerings. Learning Objectives: • Learn the current trends impacting the ability of in-house financing plans to meet patient demands. • Understand patients’ financing preferences and how it directly impacts behaviors when pursuing care and choosing a provider. • Discover how third-party financing can support practices to meet patients’ needs, help relieve administrative burdens, and stay competitive within an ever-evolving healthcare industry. "
