Medical Billing Forum

Billing => Billing => : ZASHRAF September 08, 2019, 10:48:21 PM

: New vs established
: ZASHRAF September 08, 2019, 10:48:21 PM
I am working with a provider who was previously employed by a hospital and now started the new practice and billing under new tax ID and new group 2 NPI. Most of his patient has moved to him. Should I bill these patients as new or established?
Thank you
: Re: New vs established
: kristin September 09, 2019, 03:20:37 PM
Face to face trumps Tax ID/Group NPI. If provider has seen patient for face to face services in last 3 years, they are established. There is a decision tree about this in the CPT book, and also readily available on-line.