Do Not Get The New Vs Established Distinction Wrong

By Author: Angela MArtin
Total Articles: 205
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When coding for Evaluation & Management (EM) services, it's difficult to verify place of service, discern components and select the correct level. But if you get the ‘new' vs ‘established' distinction wrong, you could find yourself in unknown quarters.


Normally, you should consider a patient to be established if any physician in your group practice has seen that patient for a face-to-face service within the past three years.


However, help is close at hand. The E/M services guidelines chapter in your CPT book has a nifty decision tree to help you choose between ‘new' and ‘established'. For instance, you can go to page 2 of the AMA's 2009 edition of CPT to see this.


Not just this, but Correct Coding and billingfor E&M continue to stymie many practices. Even the most skilled coders still have trouble with E/M coding. If you want to simplify E/M documentation, coding and reimbursement, you can sign up for audio conferences which are right there for you, ...
... helping you corner the significant code changes affecting reimbursement while helping you lower your audit risk. When you sign up for such conferences, you'll learn the art of eliminating ‘undercoding' and get all the EM coding updates at one place.

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