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Thread: Does your doctor bill for more than one visit on same day?

  1. #26
    Jim
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    if my doctors did that I would absolutely change Doctors..its one visit..they should charge more for each symptom which mine does..not two visits

  2. #27
    Super Member BluegrassGurl's Avatar
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    I have never heard of this.... and also think it is unethical. geeze.... just plain greedy. I would find another doctor.

  3. #28
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    virtualbernie-I would definitely find another doctor also.

  4. #29
    Super Member Annaquilts's Avatar
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    I was charged for everything and no service provided by a local hospital when I took my infant in because of dehydration. Also do not let them put you in a special room unless you need it because the room that was free and they put us in was more. It is crazy.

  5. #30
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    My doctor will treat any problem, write any prescription that you tell him about. If it is some sort of minor surgery such as removing a mole you will have to reschedule in order to schedule more time than the usual appointment. You can be sick with the flu, have a turned ankle and an ear infection and need a pap smear all in one visit plus a prescription that needs to be renewed for the price of one visit.

  6. #31
    Super Member Lindsey's Avatar
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    my mother went to the dr and had another question to aske him and he told her to make another appointment. Its not right... just not right. I ask my dr. a ton of questions. In fact she usually asks me.

  7. #32
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    Thats not right. We have Kaiser and I love it. I can ask as many questions and she only bills me for one visit. Plus I can be sick and call her and she will help me out over the phone.. No charge there just for the medican. Plus she is always trying to help me to keep the cost down. She is a GREAT Doctor.. I just love her.

  8. #33
    Senior Member debp33's Avatar
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    I just got two separate bills today for the same visit to a pain clinic. I had a co-pay for the doctor, but the "facility" charged a $75 fee for the "facility use". Huh?

  9. #34

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    That has happened to me two years in a row. This April I went for my wellness check up like I do every year. This time I kept my mouth shut and didn't complain about any aches or pains and I was still charged for two visits. The South Bend clinic billing department didn't code as a wellness visit so my BCBS insurance wouldn't pay for it. I have called my insurance company twice and called South Bend Clinic twice. The clinic insists that I was sick. I am sick. Sick an tired of getting the run around. I paid the $400+ bill. I just don't know what to do. I am retired and too young for Medicare. I buy my own health insurance which has been really good except for paying on the wellness benefit. Luckily, I don't get sick very often.

  10. #35
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    Charity-crafter,

    Re: low libido....What do they say to men that ask for 'The Little Blue Pill' because they have low libido and low something else!

    Quilter68

  11. #36
    Super Member OHSue's Avatar
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    I work in a doctor's office, we only charge one per day and believe me some of our patients have a long list to talk about. In fact if we send a patient to the ER we don't bill for the visit cause insurance won't pay for it.

  12. #37
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    This doesn't sound legit at all.. I'd have to give them a call to see if this is a mistake and if it isn't I'd get a new doctor and make a call to my insurance carrier to lodge a complaint And if this dbl charge isn't legit the ins. co. will know what to do about them

  13. #38
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    I am a manager for a medical billing service. I can say with absolute certainty that if a doctor properly documents what services were performed and what issues were addressed with a particular patient, they are indeed allowed to bill for two visits done the same day -- one as the scheduled routine physical, and the other for problems that were brought up by the patient. Coding and billing rules are very strict on when a physician is allowed to do this. From what some of you say, your doctors are not following the rules. The rules are too varied to go into here, but if anyone has any specific questions about your situations, please feel free to PM me. I read where some people have just paid the bills --- they can be appealed, and with a favorable outcome for you. I would be happy to share how.

    Edited to add.....before you pay any bill to a doctor's office, question the processing with the insurance carrier first. If a visit is denied, depending on the reason, the doctor has the write it off (or fight it themselves) and is not allowed to bill you for it per their contract with the insurance carrier.

  14. #39
    Super Member wanda lou's Avatar
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    complain to your insurance company, this is so wrong.

    find another doctor if they don't make it right.

  15. #40
    Senior Member merchjag's Avatar
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    I believe I would find a new doctor. You are being ripped off. I only pay my copay for any visit and I talk to my doctor about multiple things,Sad to say there are greedy people out there.

  16. #41
    Junior Member lsmft's Avatar
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    Reminds me of a remark my 10 year old son made to the doctor 30 years ago when he went for a strep-throat retest. He knew about the visit + whatever else charges, so he said, "I'm not here for a visit, just a strep-throat test." I don't remember the doctor's reply or the billing situation but will never forget my son's interest in the $. He went on to major in economics in college!

  17. #42
    Super Member barri1's Avatar
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    Yes, both a PE, and complaint visit are billable on the same day.. Our billing person does it. Some insurance companies pay, and some don't.. We do not bill the patient if the company doesn't..
    As for patients coming in with a laundry list of complaints, and the doctors only addressing one complaint, it's a problem.. I've been in that position with an ENT.. I was pretty ticked off, as I drove an hour to get to his office.. but in the same scenario in my office (primary care), we aren't getting reimbursed enough to pay expenses if we don't see the volume of patients, therefore we don't have the time to address the laundry list..
    As for the thyroid tests, that should be I ncluded in the yearly PE along with the EKG, Sugar tests, chol, blood counts, etc.
    Barri

  18. #43
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    I'm so glad we don't have to pay for our doctor and hospitals, even though people moan about our National Health Service i've got nothing but good to say about it,
    I really feel for those of you that struggle with your health service,

  19. #44
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    Quote Originally Posted by LovinMySoldier
    Time for a new doctor!
    Doctor's lots of times don't have a choice. Lost my excellent doctor last year because he quit rather than play the clinic's games of less patient time and more billing. He is sorely missed by his huge group of patients. Last physical was not nearly as thourough as all my previous ones.

  20. #45
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    I don't think we have any idea of what is in store for us with the new health care bill. Just stay healthy!!!!

  21. #46
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    Yes, I had a similar experience a while back - they said they had to do it that way because my insurance (Medicare and supp) wouldn't cover it. Also. This has happended several times. I go to the doc, pay the co-pay, and then 6 MONTHS LATER receive a bill that says I still owe $$. I don't understand if it is a insurance approved doc, and I pay co-pay, why am I still billed the extra? The "office girl" said she will check into it, but I keep getting statements saying I owe!

  22. #47
    BMP
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    I am surprised the your insurance hasnt questioned them doing this...I would contact the insurance and the billing dept in the DR office and question. Who knows the DR office may end up owing a large amount of $ in refunds to insurance and patients....if you dont feel satisfied with the answers you get from them then keep going up the ladder. I worked for surgeons for years and that just doesnt sound right and am surprised that the insurance compnay hasnt already questioned. Good Luck

  23. #48
    Super Member jitkaau's Avatar
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    It can't happen here if you go to a bulk-biller.It is against the law for the Doctor to see you more than once on the same day.Interesting how services differ.

  24. #49
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    Yes, I have experienced something similar.... when going in for a simple exam, I "saw" only a nurse, yet was charged twice as much -- the amount for seeing a doctor. Yet, I never saw the doctor. When I brouoght it to their attention, they were supposed to correct it and get back to me. I still haven't heard from them several months later. Part of their argument was that I must have taken up a lot of the nurse's time, asking a lot of questions, but she was the one that took up so much of my time, trying to convince me that I needed to make appointments for this exam and that test, etc., etc., etc.

  25. #50
    Senior Member Up4BigChal's Avatar
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    Quote Originally Posted by mommafank
    Second time this has been experienced in our family. You go to the doctor for a check-up and get billed for a well check visit but if you discuss anything else you get billed for a second visit. My daughter took her baby for one week checkup and asked about the cord and was charged for well baby visit and for a problem visit. Of course insurance only pays for one visit so the patient pays not only an additional co-pay but the physician charge. I went for my yearly and was charged for a physical and for a medication check because my prescriptions were renewed. Just wondering how common this is and how to avoid it in the future.
    I've been billing Insurance for over 20 years and If I were you I'd be calling the Insurance Co and ask why they are paying for 2 visits in the same day and give them dates, he must be putting some modifier on the billing code and as far as I know this is illegal unless you come back in for in an emergency situation. Unless you live in a state that allows this but it sounds wrong to me. Greed and people wonder why we're in such a MESS!!!

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