I’m purchasing a chiropractor practice and so will likely have some questions for you all in the weeks ahead. I see that you’ve all been kind to new docs in other posts I’ve read!

I’ve been working at a chiropractor clinic and have recently come to an agreement with the current owner to purchase it. I have my own separate S-corporation that I’m using to purchase the assets & intangibles.

Since I am technically a different practice (different EIN than the practice I am purchasing), how should I handle the existing patients that have been coming to me already? Will I need to bill for a “new patient exam” (99201)?

On some of these people I’ve just done an exam less than a month ago so it will seem strange requiring another exam just because they are a “new patient” for what technically could be seen as a new practice.

I am guessing that it will vary based on whether they are cash, insurance (I’m in-network with most) or Medicare. Would I be ok simply billing a 98940 or a 98941 without an exam or would that raise red flags? I figure that I could possibly do that with cash patients, or else give a free exam to those that are maintenance or have had one recently. Medicare I guess would frown on billing a 98940 without an exam though.