Re: US docs only. Telephone consults

From: ainsron@msn.com
Sat Feb 24 08:23:00 2001


Insurers won't pay for them and I doubt many patients will voluntarily pay for them either. They'll vote with their feet. It would be discriminatory to force one group of patients to pay (private pay, private insurance, etc.) and let another group off (Medic-Aid, Medicare, HMOs, etc.) because it isn't a benefit and you can't make them pay. I've heard of some specialties trying (Pediatricians) but I don't think much success has come out of it. I can just hear your answering service message: "Please press 1 if you are willing to pay $25 for a call back after hours; Press 2 if you want to leave a message that will be returned in the morning for $10; Press 3 if you want to leave an profane message for the doctor." Many family docs I know get around the temptation to treat minor conditions over the phone for no reimbursement by requiring that the patients be seen in their office before initiating treatment, return visits to get lab results, etc. I think that is pushing the envelope to the other side. The other side is that the capitated HMO patient who loses money for the primary care doc when they come in the office, the incentive is to treat over the phone and not jam up their waiting room. Only in America!

>Does anyone charge for telephone calls to patients when a particular
>condition is
>being evaluated and treated? For example a UTI....
>
>If so what E/M codes do you use? Or do you not use E/M codes and intead use
>the
>specific codes for telephone consultation 99371-99373?
>What do you think a telephone call is worth?
>
>--
>Douglas Krell MD
>

--
Ronald E. Ainsworth, MD




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