Squeezed by declining reimbursements, doctors now charging for once-free services

  1. Found at healthleaders.com

    Squeezed by health insurance reimbursements that that doctors say haven't kept pace with expenses, doctors in Pittsburgh and across the country are applying a more business-minded attitude toward copays and missed appointments.

    Pittsburgh Post-Gazette, June 17, 2003
    http://www.post-gazette.com/healthsc...pays0617p1.asp
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  2. 6 Comments

  3. by   renerian
    I went to see a cardiologist last year. On the desk was a big sign. It said that if you are put on a new medication and wish to be taught about the medication, there was a $3.00 charge which was not covered by insurance. I was shocked.

    renerian
  4. by   Peeps Mcarthur
    Geeze,
    what's next, a tip jar?:chuckle
  5. by   kids
    Originally posted by renerian
    I went to see a cardiologist last year. On the desk was a big sign. It said that if you are put on a new medication and wish to be taught about the medication, there was a $3.00 charge which was not covered by insurance. I was shocked. renerian
    OMG ren, I don't see how they can get away with this!

    Patient teaching IS included in the CPT code for the office visit (sort of)...the length and complexity of the visit determins the CPT code and insurance pays based on the code. (My guess is they had crappy documentation to support a more complex code and they had claims rejected.)
  6. by   mother/babyRN
    Maybe nurses should charge for individual services....
  7. by   nialloh
    Originally posted by mother/babyRN
    Maybe nurses should charge for individual services....
    Be careful, you'll give them ideas
  8. by   ktwlpn
    Originally posted by NRSKarenRN
    Found at healthleaders.com

    Squeezed by health insurance reimbursements that that doctors say haven't kept pace with expenses, doctors in Pittsburgh and across the country are applying a more business-minded attitude toward copays and missed appointments.

    Pittsburgh Post-Gazette, June 17, 2003
    http://www.post-gazette.com/healthsc...pays0617p1.asp
    I read the article and I agree-a physician's office has to be run like a business....Most companies that I deal with expect payment at the time of service.I am prompt for my appointments and expect the office to be ready for me within a reasonable amount of time.I expect to pay for other services performed by the office staff.As for the cardiologist-I would report that to the insurance company,the AMA and anyone else I could think of....-what is he doing-making his patients schedule another appoinment for med counseling? That is part of his exam-he has to educate his pts regarding any prescriptions he writes...I am sure he would stop this practice if he were reported

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