tci Part B Insider - 2019 Issue 4

Compliance: Boost 3-Year Rule Knowledge with This Primer

Tip: Review CPT® guidelines for best results. Choosing the right E/M code is daunting, but first steps must always include determining whether a patient is new or established. To do this, you’ll likely use the “three-year rule,” but there’s more to the popular guideline than meets the eye. A key element in determining whether a patient is new or established is time. Plus, you need to consider other factors, such as the kind of services a patient has already received, and what kind of exceptions may come into play, before you make that determination. Pocket...

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