Question
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
When reporting an evaluation and management (E/M) service code, what is the determining factor between new and established patient? ...
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Article Overview
This short coding education article discusses the evaluation and management (E/M) concept of new versus established patient status. It is aimed at coders, billers, and clinicians who need a quick explanation of how prior professional services and encounter type affect patient classification.
Why This Topic Matters
Correctly identifying whether a patient is new or established affects E/M reporting and helps support accurate coding and compliance.
What You Will Learn
- How E/M patient status is framed in general terms
- What prior care relationships are relevant to patient classification
- Why encounter context matters for determining patient type
- How this topic fits into everyday medical coding workflow
Who Should Read This
- Medical coders
- Medical billers
- Physicians
- Practice managers
- Compliance staff
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