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New Medicare pts changed to established pts b/c of endoscopy suite?

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Sort of an odd question, so I also posted this in the GI specialty forum. Hope that’s ok...


I work at a G.I. clinic that also has a endoscopy suite. I’m told this classifies us as an outpatient surgical facility. As such new Medicare patients that have NOT been seen by our office, but rather seen by anyone in ourhospital owned  system within the three years now becomes an established patient. This changes a 99204 patient to a 99214 patient (and cuts 1/3 of my RVU from those pts)


I’m told they do this so they could charge an extra facility fee For procedures. (However it’” hurts my numbers...)


I was debating Asking for a modification of my RV/productivity numbers because of it. Does anyone else have this problem? I’m assuming that GI offices have similar issues?

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