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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.
Asset Protection and Financial Planning
December 6th 2021Asset protection attorney and regular Physicians Practice contributor Ike Devji and Anthony Williams, an investment advisor representative and the founder and president of Mosaic Financial Associates, discuss the impact of COVID-19 on high-earner assets and financial planning, impending tax changes, common asset protection and wealth preservation mistakes high earners make, and more.
How AI billing delivers precision, compliance, and savings
November 26th 2024For healthcare providers, executives, and decision-makers, embracing AI in claims processing is not just a step toward improved financial outcomes—it’s an ethical commitment to better care and a more patient-centered approach to service delivery.
