New Patient Billing: Tips for Seamless Claims Who really counts as “new” in your practice? We’ll break it down in the comments! #MedicalBilling #RevenueCycleManagement #MedicalCoding #HealthcareFinance #RCM
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Why it matters: - Confusing new vs. established status is a leading cause of claim denials - New patient codes reimburse higher but face more scrutiny - Accurate coding protects revenue and avoids costly rework
Definition of a New Patient (CPT 99202–99205): A patient is new if, within the past 3 years, they have not: - Received a face-to-face service - Been seen by same specialty in the group - Been treated by same subspecialty - Had a visit within your practice