New Patient

We are a specialist. We have FNP's who send patients to us. We are all in the same group even though we are specialists. Are they considered new to us?

re: New Patient

Do you FNPs work as specialty advanced practice RNs or as Primary care?

NPs and PAs aren't signed up with Medicare in any specialty. Medicare will process these as new patients to you. If the PA/NP is signed up as tied to your group for commercials, they may not process as new to you.

In general, if FNP means FAMILY NP (different states, different initials) and they operate as primary care NPs then bill as new, because of the issue of PA/NP having one specialty code each. If the NP/PA works with your specialty group seeing patients, bill as established.