Reply to Billing for an "office visit" with free preventative care

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Reply to "Billing for an "office visit" with free preventative care - is this the new healthcare scam?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]A free preventative care visit (or a “checkup”) is for the appropriate health screenings ONLY. If you have other concerns, you are likely going to pay your copay. It’s not new or a scam, except to the extent that the entire system is a scam.[/quote]

What are those screenings? The PCP isn't going to do a mammogram or a colonoscopy or a pap smear or a proper skin check or a cardiac assessment or an eye exam or vaccinations. Mine just checks off on the computer that I've had these things done by other specialists or providers. I only turn up because the system pretends this person coordinates my care and because I have to write the name of a PCP on forms. Maybe it's more useful for someone else not already seeing a team of specialists.[/quote]

PCP can/should be able to offer most exam components of preventive care ( pap, breast exam, heart/lung, vitals, periodic bloodwork), all the screening questionnaires that are considered part of routine screening, and referral for colonoscopy. That IS what the PCV is, it’s what is required to be covered as a no co-pay visit. All those other things you may be used to talking about are not covered preventive care so either need a separate appointment on another day or an office visit/problrm visit added on to the PCV. 
As a health care provider this is why I don’t do a “annual exam” with my PCP. I know what is due and when, and that if I am not due for any particular screenings that year he’s just going to ask me a bunch of questions, listen to my heart, and send me on my way.
Here’s how to reframe it in your mind - the covered preventive care we’ll visit had a predetermined set of covered services ( so practitioner directed), anything outside of those is a problem visit/office visit and more patient directed. [/quote]

I turn up once a year because the PCP has to prescribe one medication. Everything else is done my specialists.

I do a pcv visit because I haven't got any other reason to turn up to see them. The blood work is a waste because I get that done several times a year by others anyway. The PCP won't actually do any well woman checks. [/quote]

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