dirtbiker
Full time employment: Posting here.
- Joined
- Apr 11, 2019
- Messages
- 692
This is actually changing with the advent of time-based coding. Only a few years ago, we could charge only based on number of diagnoses and medical complexity. I could spend 45 minutes with a patient discussing only their depression, and I could only bill their insurance for a low level visit because I only addressed one diagnosis. However, we are now able to bill based on either medical complexity OR time. This does allow me to spend more time with my patients and still receive appropriate compensation. It's a win-win for physicians and patients. However, it costs insurance companies more. Though, this isn't always entirely accurate. Often times when we only have 15 minutes to see a patient, we're asking them to come back every 3 months, sometimes more often, so we can cover everything. If we get 30-40 minutes per person, we generally don't need to see them as often, and in this case, we aren't costing the insurance companies more money, and then everybody wins.Great for patients and great for physicians but bad for payers and clinics.
I'm in an administrative position (still mostly clinical, but administrative duties as well) in my very large practice, and have been working with some of the older physicians to change how they bill if they're spending the time with their patients. Many are very apprehensive of changing how they bill after years and years of practice.