Hi! If a patient would like to establish care with one of our providers, we schedule a follow-up visit for non-Medicare payors and a TCM visit for Medicare payors. Following that visit, the patient is then scheduled for a new patient appointment.
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Original Message:
Sent: 05-08-2026 12:46
From: Melissa Clark
Subject: Initial vs follow up visit for new patients post d/c from hospital
Question--- if a patient was seen by a consulting physician at hospital, what visit type is used for first office visit? Is it a follow up visit or initial visit. CMS guidelines indicate that a patient cannot be billed for initial if seen by provider or peer from the clinic in the last 3 years.
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