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][quote=Anonymous][quote=Anonymous]MD here. It’s a billing thing. Our emr pulls from our notes so if we document it- you’ll be charged. If you truly want a free visit - do not bring anything up and just focus on your general preventative stuff but honestly it’s so hard to get a doctor’s appointment, I’d just pay the bill. In my own life, I suck it up and pay my own pcp so I understand this also from a patient’s perspective, Also it’s a bit frustrating for people to blame the doctors for this, esp primary care doctors who don’t make much and we need more of. Talk to your legislators about free health care for all. Don’t blame someone for doing their job, billing appropriately for the work they’ve done and just trying to make a living after years of training and debt. [/quote]

So you should just stand there in a starfish position and say nothing? What is the purpose of this visit? Please define "general preventative stuff".[/quote]

Preventative care equals screenings. The kinds of tests that are out there to pick up problems early before people know they are an issue. There’s plenty of great info out there to help you understand what that means. Start here. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations

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So you shouldn't mention chest pain, headaches or gastro symptoms that might actually indicate cardiac issues or cancer. You shouldn't say you get out of breath going up the stairs. What kind of preventative care is that?  How did doctors work in the 1950s when they didn't have this technology? Presumably they talked to the patient and asked questions.[/quote]

Of course you should, but those all require diagnostic work up ( additional eval to figure out a problem) which is different than preventative care ( screening to detect potential future problems and prevent from becoming a problem). Those you get billed for.[/quote]

So when the PCP asks those questions during a wellness check, they're just trying to turn it into another kind of visit? My PCP does ask about those symptoms. [/quote]

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