Another Qualified Health Care Professional

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Who Is an “Other Qualified Health Care Professional”?

(3 days ago) WEBStaying within scope-of-practice requirements will require an understanding of this new term. By Jonnie Massey, CPC, CPC-P, CPC-I, CPMA, AHFI. The annual update of the CPT® codebook includes many hundreds of changes, but what especially caught my …

https://www.aapc.com/blog/25419-who-is-an-other-qualified-health-care-professional/

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Who are ‘other qualified health care professionals’?

(8 days ago) WEBMany Current Procedural Terminology (CPT) codes and modifiers (e.g., pediatric immunization administration, modifier 76) include reference to the performance …

https://publications.aap.org/aapnews/article/32/3/29/23958/Who-are-other-qualified-health-care-professionals

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Define a Qualified Healthcare Professional - AAPC

(5 days ago) WEBAnother way to verify whether a specific payer will grant the professional an independent billing number is to check the payer’s …

https://www.aapc.com/blog/28964-define-a-qualified-healthcare-professional/

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What is an 'Other Qualified Healthcare Professional'?

(5 days ago) WEBby Wyn Staheli, Director of Content - innoviHealth Mar 4th, 2016. To begin to answer this question, let's review the exact wording in the CPT codebook: “A ‘physician …

https://www.findacode.com/articles/other-qualified-healthcare-providers-resource-475-to-finish-28231.html

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Determining if a patient is ‘new’ or ‘established’ can be …

(8 days ago) WEBThis also is complicated by the fact that CPT recently altered the definition of each term.According to CPT, a new patient is one who has not received any …

https://publications.aap.org/aapnews/article/35/7/25/7665/Determining-if-a-patient-is-new-or-established-can

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New Vs Established Patient - AAP

(6 days ago) WEBI. Definitions. A new patient is one who has not received any professional services (ie, those face-to-face services rendered by physicians and other qualified …

https://www.aap.org/en/practice-management/practice-financing/coding-and-valuation/evaluation-and-management/new-vs-established-patient/

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CPT 2012 Defines “Qualified Health Care Professional”

(9 days ago) WEBA “qualified health care professional” (ie, “qualified nonphysician health care professional”) is an individual who by education, training, licensure/regulation, …

https://publications.aap.org/codingnews/article/doi/10.1542/pcco_book090_document003/27848/CPT-2012-Defines-Qualified-Health-Care

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What is a Qualified Health Professional (QHP), clinical staff …

(2 days ago) WEBThese professionals are distinct from “clinical staff”. A clinical staff member is a person who works under the supervision of a physician or other qualified health care …

https://www.ismanet.org/pdf/education/QHP10-6-16.pdf

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Is the Patient New or Established? Test Your Knowledge

(8 days ago) WEBThe Current Procedural Terminology (CPT) defines a new patient as “one who has not received any professional services from the physician/qualified health care …

https://www.aao.org/eyenet/article/is-the-patient-new-or-established

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Clinical Staff vs. Healthcare Professional - Find-A-Code

(7 days ago) WEBState scope of practice laws and regulations will help determine who is considered Clinical staff and Other qualified Health Care professionals. Physician or …

https://www.findacode.com/articles/clinical-staff-vs-healthcare-professional-34741.html

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Coding Corner: How coding guidelines define new vs - cmadocs

(9 days ago) WEBCPT® defines an established patient as one who “has received a professional service from the physician/qualified health care professional or another physician/qualified health …

https://www.cmadocs.org/newsroom/news/view/ArticleId/31994/Coding-Corner-How-coding-guidelines-define-new-vs-established-patients

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New Patient Visit for Same Practice Subspecialist - AAPC

(2 days ago) WEBfrom the physician/qualified health care professional or another physician/qualified health care professional of the exact same specialty and …

https://www.aapc.com/blog/45377-new-patient-visit-for-same-practice-subspecialist/

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Credentialing Process Overview - Horizon BCBSNJ

(5 days ago) WEBThis form applies to, and should be completed by, health care professionals who are not MDs or DOs. For us to assess your credentials and ensure that you meet all criteria for …

https://www.horizonblue.com/sites/default/files/2020-04/32244_Other_healthcare_professional_checklist.pdf

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Credentialing Process Overview - Horizon BCBSNJ

(5 days ago) WEBfor another qualified, participating physician in the same network (who has admitting privileges to one or more Horizon Network Hospitals) to care for patients who require …

https://www.horizonblue.com/sites/default/files/2020-04/32214_Physician_checklist.pdf

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CPT updates definition of ‘other qualified healthcare professional’

(Just Now) WEBWhen the Academy put forth the 2011 pediatric immunization administration (IA) codes 90460-90461, it advocated for the inclusion of the term “other qualified …

https://publications.aap.org/aapnews/article/33/1/22/24179/CPT-updates-definition-of-other-qualified

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PHYSICIAN CHECKLIST - Horizon BCBSNJ

(5 days ago) WEBPHYSICIAN CHECKLIST. Thank you for your interest in joining the Horizon Managed Care Network, the Horizon PPO Network or the Horizon NJ Health networks. This form …

https://www.horizonblue.com/sites/default/files/2019-09/32214_physician_checklist.pdf

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Refresher: How to determine new vs. established patient

(3 days ago) WEBAccording to the CPT codebook, a “new” patient is, “one who has not received any professional services from the physician/qualified health care professional or …

https://www.physicianspractice.com/view/refresher-how-to-determine-new-vs-established-patient

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Coding refresher: How to determine new vs. established patients

(9 days ago) WEBAccording to the Current Procedural Terminology codebook, a “new” patient is “one who has not received any professional services from the physician/qualified …

https://www.medicaleconomics.com/view/coding-refresher-how-to-determine-new-vs-established-patients

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How to Determine New vs. Established Patient Status

(3 days ago) WEBA would consider the patient a new patient. However, if Dr. A, or another physician of the same specialty in the Rockford practice, has provided any professional …

https://www.aapc.com/blog/37138-how-to-determine-new-vs-established-patient-status/

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Modifier Dictionary FAQ ACEP

(3 days ago) WEB-76 Repeat Procedure or Service by Same Physician or Other Qualified Health Care professional: Indicates that a procedure or service was repeated subsequent to the …

https://www.acep.org/administration/reimbursement/reimbursement-faqs/modifier-dictionary-faq/

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Specialty Pharmacy Drug Management List - MyPrime

(5 days ago) WEBanother way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with: Horizon BCBSNJ – Director, Regulatory Compliance Three Penn Plaza …

https://www.myprime.com/content/dam/prime/memberportal/forms/2017/FullyQualified/Other/ALL/HBCBSNJ/COMMERCIAL/NJACCORD/NJ_Specialty_Drug_List.pdf

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How Coding Guidelines Define "New Patient" - AAPC

(3 days ago) WEBCPT® defines an established patient as one who “has received a professional service from the physician/qualified health care professional or another …

https://www.aapc.com/blog/40213-how-coding-guidelines-define-new-patient/

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