The ethical practice would be to apply the multiple surgery discount to the second/third, etc procedures. Reimbursement INCLUDES pre- and post-operative care and you will not be duplicating that work at all.
HOWEVER ... I would structure my patient invoice to SHOW that discount so that there is no misundrstanding.
E.g.(Which I'm making up for illustration, so forgive me)
$2000 - Facelift
$1000 - Rhinoplasty
-$ 500 Second surgery discount
TOTAL DUE: $2500
Among other reasons for doing this is so that Mary Jane doesn't tell her friend that she got a rhinoplasty for only $500 and then when her friend Molly shows up she's surprised that it costs $1000.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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