Can an existing wellness patient be billed as a new patient exam after a recent accident?

The answer is…

Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).

Can an existing wellness patient be billed as a new patient exam after a recent accident?

The answer is no!  Although the accident is new and there may even be a new injury involved, this does not qualify an existing patient as a new patient.

 An established patient’s E & M code (99212-99215) is for an examination of a patient who has been seen in your office for the past 3 years.

A new patient is a person who is brand new to your office or has not been seen in 3 or more years.

Remember, billing with incorrect acupuncture CPT and ICD codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network is your solution.

American Acupuncture Council Network stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason acupuncturists have trusted AAC with their business for over 30 years.

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