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-   -   Does your doctor bill for more than one visit on same day? (https://www.quiltingboard.com/general-chit-chat-non-quilting-talk-f7/does-your-doctor-bill-more-than-one-visit-same-day-t139432.html)

bob1414 07-25-2011 03:53 PM


Originally Posted by mommafank

Originally Posted by bob1414
Why are some of you blaming the Doctor? That doesn't seem right to me. Doctors don't do their own billing (at least the busy Doctors don't).
When making an appointment, ALWAYS mention what your issues are when scheduling the appointment and that way, enough time can be scheduled for you and the Doctor will know in advance what you need - no surprises!
If I were you, I'd phone the Doctor's office and ask to speak to the person that fills out the billing paperwork and go from there.

Perhaps because the doctor is the one who checks off the dx and tx rendered on the flow sheet used for the visit or enters in computer if the office is computerized for records.

Wow.............

donnalynett 07-25-2011 08:31 PM

I have never heard of anything like this! And I thought I had it bad when my doctor raised his office calls to $195. Sounds like something wrong with the billing system back there or people are getting ripped off with double billing.

sailsablazin 07-25-2011 11:20 PM


Originally Posted by donnalynett
I have never heard of anything like this! And I thought I had it bad when my doctor raised his office calls to $195. Sounds like something wrong with the billing system back there or people are getting ripped off with double billing.

$195 for an office call???? Ridiculous! I would find another doctor. Our office calls are $80 (which I still think is high).

kaykwilts 07-26-2011 07:04 AM

One specialist I go to for Fibromyalgia charges by the 15 mins....15 mins with him cost $94.00. My first visit with him was over $500, as I spent 2hrs plus with him....face to face the entire time talking and exam. Did I mind paying that? No not really. As I have discovered, this doctor truly cares about you...and approaches your care from a holistic point of view. Now, after almost four years with him, I am in and out in under 15 min, and get the care that I want. I think when you find a doctor you are really comfortable with, it is a little (notice I said a little) easier to pay a higher fee. Just my thoughts.

mommafank 07-26-2011 08:21 AM


Originally Posted by kaykwilts
One specialist I go to for Fibromyalgia charges by the 15 mins....15 mins with him cost $94.00. My first visit with him was over $500, as I spent 2hrs plus with him....face to face the entire time talking and exam. Did I mind paying that? No not really. As I have discovered, this doctor truly cares about you...and approaches your care from a holistic point of view. Now, after almost four years with him, I am in and out in under 15 min, and get the care that I want. I think when you find a doctor you are really comfortable with, it is a little (notice I said a little) easier to pay a higher fee. Just my thoughts.

Yes having a great doctor is important. Sounds like you found one. And at least you know exactly what it will cost you when you go. I was clueless that I would be billed for 2 visits.

lupee60 07-26-2011 08:28 AM

I'm a CCA and yes, this is correct coding, and its allowed by the correct coding iniciative. i know it does not seem right. but if you go see the dr for a well visit and he also takes care of another problem not related to the well visit he is allowed to bill for the office visit also. but the insurance pays 100% of the well visit and only allows 50% of the office sick visit. and u should only pay what your insurance allows and most of the time it should charge only one copay. if it wants u to pay more than one copay for the visits on the same day call your insurance to cover for it . also this is more work for the doctor because he has t o document 2 seperate work sheets one for the well visit and another for the sick visit which is more documentation. and more responsability.

mommafank 07-26-2011 08:38 AM


Originally Posted by lupee60
I'm a CCA and yes, this is correct coding, and its allowed by the correct coding iniciative. i know it does not seem right. but if you go see the dr for a well visit and he also takes care of another problem not related to the well visit he is allowed to bill for the office visit also. but the insurance pays 100% of the well visit and only allows 50% of the office sick visit. and u should only pay what your insurance allows and most of the time it should charge only one copay. if it wants u to pay more than one copay for the visits on the same day call your insurance to cover for it . also this is more work for the doctor because he has t o document 2 seperate work sheets one for the well visit and another for the sick visit which is more documentation. and more responsability.

My complaint about that is that we all are paying such high prices for insurance that it is not fair to have to pay more than the co-pay.

Joyce Ann 07-26-2011 10:22 AM

I never heard of this Does not sound right

donnalynett 07-26-2011 08:07 PM


Originally Posted by sailsablazin

Originally Posted by donnalynett
I have never heard of anything like this! And I thought I had it bad when my doctor raised his office calls to $195. Sounds like something wrong with the billing system back there or people are getting ripped off with double billing.

$195 for an office call???? Ridiculous! I would find another doctor. Our office calls are $80 (which I still think is high).

That is the rate at the only two clinics we have here in this part of Oregon. We don't even have a cardiologist closer than a 2 hour drive. My ENT specialist charges $465 per office call. My orthopedic doctor charges $385 per office call.

lupee60 07-27-2011 08:09 AM


Originally Posted by mommafank

Originally Posted by lupee60
I'm a CCA and yes, this is correct coding, and its allowed by the correct coding iniciative. i know it does not seem right. but if you go see the dr for a well visit and he also takes care of another problem not related to the well visit he is allowed to bill for the office visit also. but the insurance pays 100% of the well visit and only allows 50% of the office sick visit. and u should only pay what your insurance allows and most of the time it should charge only one copay. if it wants u to pay more than one copay for the visits on the same day call your insurance to cover for it . also this is more work for the doctor because he has t o document 2 seperate work sheets one for the well visit and another for the sick visit which is more documentation. and more responsability.

My complaint about that is that we all are paying such high prices for insurance that it is not fair to have to pay more than the co-pay.

like i said before you souldn't have to pay 2 copays. because its a copay per office visit when i receive payment for the ov and physical and the insurance charges 2 copays - i call the insurance and advise that it should be only one copay for visit. and the insurance sends me the difference not the patient. i hope this helps because many times the insurance processes the claim incorrectly and the patient does not call to verify his/her benefis and pays what was not paid by insurance. also many doctor offices have a coder sending the claims and another person entering the payments and that person does not know that the claim was paid incorrectly. sorry but it happens more than you think.


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