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[quote=Anonymous]Update:

I have learned that this is apparently a "maintenance" fee, and one that I was never apprised of. The nomenclature surrounding the code indicates  something  to the effect of "mananging patient with several  comorbities."

I do see 2 specialists completely outside of this practice, and they  are in no way  working in tandem with this practice,  and these 2 specialists arrange for all prescriptions, not the PCP. Apparently  they  are also billing my spouse monthly  with the same coding. He has no other issue other than  mildly high blood pressure  and a yearly  trip to urologist.

My general understanding is that most people  have several  issues that might not be serious, taking a statin and or blood pressurw pill, thyroid checkin, gyn check in, and those are done with those providers. Why is this practice charging an extra fee each month as a PCP, and why is Medicare just covering some of it?

This seems as though they have turned into  a concierge  practice without telling anyone and without any of the benefits. I might as well  join a concierge practice. [/quote]

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