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phone calls.

On 9 Aug 2004 at 10:14, Susan Teaford wrote:

> Re: Charging for telephone calls
>
> In our small community the overall trend has been to hand over the
> phone calls to a fee-for-service nurse triage service.  Patients call
> the 800 number, charge $30 to their credit card, and get all the
> advice they need. We have a written up protocol for meds the nurses
> may call in, ie nystatin, auralgan, phenergan.  If necessary, the
> nurse calls the doc on call.  On average, we get called maybe once or
> twice a week; no charge but we don't mind because it's so infrequent.
> The charge also makes parents think twice about calling, thus
> eliminating those calls about routine-for-the-office-hours issues.
> Because this is a fairly new concept, the insurance companies didn't
> have an issue with it. Life is much quieter; we used to get up to 8-10
> phone calls an hour!
>
> Susan Teaford, MD
> San Luis Obispo CA
>
What if parents complain that they don't 'have a credit card' or can't afford
the service and their kid suffered because of it?  Also, who collects the
credit card #, the nurse call system?  That is what they should have done
along time ago instead of charging the dr. the bill and making them
collect.