tci Part B Insider - 2012 Issue 31

Reader Question: Allergy Injection Reignites 'New Vs. Established' Patient Debate

Question: I have a patient who was seen over three years ago. But, from 2009 through 2011 we renewed his allergy serum to be administered by his PCP. Is he a new patient since he was not actually seen within three years? Or, is the fact he received his serum a "visit" so to speak and I can now only bill an established patient? South Carolina Subscriber Answer: As long as your physician (or any physician in the same specialty in the practice) did not see that patient, you should bill this patient as a new patient using the...

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