Medicare not allowing a new patient coding when patient is seen by APC within three years

[GenoPAC]

Hello all,

I practice Derm and our organization states that I cannot bill a new patient visit if the patient has been seen by another PA or NP within the last three years, within the same institution, regardless of specialty.  Their claim is that medicare sees any APC as a "specialty".

 

I practice in a rural area where most of primary care is covered by APC's.  If this is the case, I'll rarely be able to bill a new patient visit.....

 

Is this true?

[ventana]

I would think not.  

 

Call Medicare.