Billing in a multispecialty group.

[vitriol102]

Greetings!

Joining a multi-specialty group. Basically me (PM&R/pain management), spine surgeon (with 2 NP's) and general Ortho. If spine surgeon sends me patient I have never seen before, should be billed as new or established patient?

Here's the trickier question. NP works with spine surgeon one month. Sees patient. Few months down the line, I cover the NP (spine surgeon on vacation) and she refers the same patient she saw a few months ago, under spine surgeon, but for PM&R/pain management

By the way, this is Florida

Any input?

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[buddababa]

In my practice, our billing company told us that it's billed as an established patient.

 

[TIVAndy]

it depends on tax ID. if u have separate tax ID it's new pt.

 

[callmeanesthesia]

If referred to different specialty even within the same practice it’s a new patient. More complicated if you are supervising the PA but they are seeing the surgeon’s patients. I have no idea on that one.

 

[lonelobo]

It is not about Tax ID, it is about different specialty classification

 

[SommeRiver]

All internal referrals from other than pain in my group are New Patient.

If you see a spine surgeon in my group who sends you to me, you're a NPV.