Documentation and Reporting Guidelines for E/M Services update (professional)

We are adding new information to our policy dated January 1, 2019 regarding new patient vs. established patient visits. When a provider changes physician group practices and has seen a patient within the past three years at the previous practice, the evaluation and management encounter for the same patient at the new practice is considered an established patient visit and would NOT be considered a new patient visit.  For more information regarding this update, along with other non-substantive updates (minor language, punctuation, etc.), review the policy dated January 1, 2019 by visiting the Reimbursement Policy page at bcbsga.com/provider website.