Ace the Codes: Master the 2026 Medical Coding Practice Test with Flair!

1 / 400

What guideline is commonly followed when coding for a new patient visit?

New patients should never be charged

New patients must have a follow-up visit within three days

New patients have not received any professional services in the past three years

The guideline stating that new patients have not received any professional services in the past three years is correct because it defines the criteria for coding a visit as a new patient according to the standards set by various healthcare coding organizations, including the American Medical Association (AMA). This definition is crucial for billing and reimbursement purposes, as it helps to distinguish new patients from established patients.

When a patient has not received care from a specific provider or their practice within the last three years, they are categorized as a new patient. This classification directly impacts the coding process, as new patient codes generally reflect a higher level of service and associated reimbursement due to the comprehensive evaluation and management that is often required during the initial visit.

In contrast, the other options do not align with the generally accepted guidelines for new patient visits. Charging new patients is a standard practice, follow-up visit timeframes are not a determining factor for new patient status, and prioritizing codes doesn't specifically relate to the definition of a new patient. Thus, the distinction made in the correct option is essential for proper coding and billing practices.

Get further explanation with Examzify DeepDiveBeta

New patients should have their codes prioritized

Next Question
Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy