General fitness, health and nutrition · Public discussion

Re: Charging Patients for Non-covered Services

Started by Dr. Andrew B. Chung, MD/PhD · · Last activity · 3 posts · 640 views

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General fitness, health and nutrition
Published
12 July 2003
Last activity
13 July 2003
Original author
Dr. Andrew B. Chung, MD/PhD
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3
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Public discussion
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  1. "Matt Beckwith" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    For most managed care plans, obesity is a non-covered diagnosis. For this
    reason, if a patient comes to see me asking for help losing weight, and this
    is the only thing we discuss on the visit, and I submit the claim to the
    insurance company, it won't be paid.

    A common practice in this situation is to address at least one other
    (covered) diagnosis during the visit, so that the visit will be paid. But
    one might construe this to be fraud.

    I would like to provide weight loss services (i.e. diet pills) to my
    patients. I want to charge them separately from their insurance plans,
    since weight loss is not covered under their plans.

    If your patient is achieving weight loss, there will likely be a need
    to adjust blood pressure and/or diabetic medications. You wouldn't
    need to bill separately for that.

    Regards,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  2. Question for the group. Benign case of atrial fib. Taking 5 mg of warfarin.
    Have no problems with it so far. Ir ususally reads in low 2's.
    The problem is doctor is out of town for a week and have a badly inflammed
    knee. Need an anti-inflammatory like naproxin. Not sure I can take it. Or is
    there an alternative?? Does anyone know? Tylenol is all I have taken.

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    "Matt Beckwith" <[email hidden]> wrote in message


    news:<[email hidden]>...

    Quoted message said:
    Quoted message said:

    For most managed care plans, obesity is a non-covered diagnosis. For


    this

    Quoted message said:
    Quoted message said:

    reason, if a patient comes to see me asking for help losing weight, and


    this

    Quoted message said:
    Quoted message said:

    is the only thing we discuss on the visit, and I submit the claim to the
    insurance company, it won't be paid.

    A common practice in this situation is to address at least one other
    (covered) diagnosis during the visit, so that the visit will be paid.


    But

    Quoted message said:
    Quoted message said:

    one might construe this to be fraud.

    I would like to provide weight loss services (i.e. diet pills) to my
    patients. I want to charge them separately from their insurance plans,
    since weight loss is not covered under their plans.

    If your patient is achieving weight loss, there will likely be a need
    to adjust blood pressure and/or diabetic medications. You wouldn't
    need to bill separately for that.

    Regards,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

    -----= Posted via Newsfeeds.Com, Uncensored Usenet News =-----
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  3. "dwvick" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Question for the group. Benign case of atrial fib. Taking 5 mg of


    warfarin.

    Quoted message said:

    Have no problems with it so far. Ir ususally reads in low 2's.
    The problem is doctor is out of town for a week and have a badly inflammed
    knee. Need an anti-inflammatory like naproxin. Not sure I can take it. Or


    is

    Quoted message said:

    there an alternative?? Does anyone know? Tylenol is all I have taken.

    The only anti-inflammatory you can take with some degree of safety are the
    newer, prescription, cox-2 inhibitors (Vioxx, Celebrex, Mobic, Bextra). Even
    then they may affect the coumadin effect and so the INR's will need to be
    monitored if you are on them for a long time (even Tylenol can do that).

    --
    CBI, MD

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