What characterizes an "established patient"?

An established patient is typically defined as one who has received care or has had visits with a specific healthcare provider within a certain period—generally within the last three years. This definition emphasizes the ongoing relationship between the patient and the provider, which is important for continuity of care. Established patients are familiar with the provider's practice, and the provider has access to the patient's medical history, which facilitates better decision-making in treatment.

This distinction is crucial in healthcare settings, especially for billing and coding purposes, as it influences how visits are categorized and reimbursed. By recognizing a patient as 'established,' healthcare providers can also offer tailored services based on prior encounters and medical records, contributing to better patient outcomes.