Just looking for a little advice...
I have instructed my nurses that they are to bill a nurse visit only when the patient's coumadin level is off and the physician is required to review and adjust their medication. The problem I have now is that patient's are upset because they are being billed the copay for these visits. They state they did not see the physician so they should not be billed for an office visit. I have tried to explain that even though they are not seeing the physician, the physician is required to review, adjust and provide instruction on their medication if their coumadin level is off. Is anyone else having these confrontations with patients? and if so how is your office handling it?
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