Our Travel Medicine clinic tells patients who call for an appointment that
1) we do not bill ANY insurance (virtually no insurance pays for this)
2) the consult fee is $x and is payable in full at the time of your visit
3) the fee for any recommended immunizations can range from $Y to $Z per immunization, and is payable in full at the time of the vist.
Will will send the patient a statement outlining services provided. IF patients want to submit to their insurance on their own, they are free to do so.
To answer your question directly ... you would bill the appropriate level of E/M based on time spent in counseling/coordination of care. If he saw them both together ... not sure how you'll divide the time (or perhaps just bill one patient for the entire time).
Hope that helps.
F Tessa Bartels, CPC, CEMC
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