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New Patient (PDF).pdf

CC.PP.036.pdf
Preview of New Patient (PDF)
🔗 Source: nhhealthyfamilies.com
📊 Size: 193 KB
👤 Author: Centene Corporation
⬇️ Downloads: 79

Summary

CC.PP.036, defines payment criteria and appropriate use of new patient evaluation and management (E/M) procedure codes. A new patient is one who has not received professional services from the physician or another physician of the same specialty in the same group practice within the past three years. Claim submissions with a new patient E/M code are denied if a previous claim line with any E/M code was billed within a three-year period by the same provider or another provider in the same practice with the same specialty. The policy includes a crosswalk of new patient E/M codes to established patient E/M codes.

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Description

CC.PP.036, defines payment criteria and appropriate use of new patient evaluation and management (E/M) procedure codes.

Technical Information

  • File Format: PDF
  • File Size: 193 KB
  • Pages: 4
  • Language: EN
  • Author: Centene Corporation
  • Total Downloads: 79
  • Last Updated: 1 week ago

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This PDF document about New Patient (PDF) provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into New Patient (PDF).

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