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Re: Professional Courtesy

At 08:33 AM 8/24/97 -0500, you wrote:
>Who do you extend professional curtesy to?  No charge vs. third party only
>vs. charging for biologicals only.  Thanks  Kim Burlingham, MD
>

For my employees I accept insurance as payment in full.  Accepting
insurance as payment in full for employees I believe is "ok" as an employee
benefit.

For children (&stepchildren) of physicians I either "no charge" (most
often) or accept third party as payment in full.

  Accepting insurance as payment in full really isn't right for physicians
kids since the usual contract says the insurance pays 80% and the family
pays 20%.  If I make a $100 charge, accept $80 from the insurance company
as payment in full, write off the $20, then the insurance company argues
correctly that the bill was really $80, not $100, and they should have paid
80% of $80 or $64 so there was $16 dollars of insurance fraud in there.

The other solo pediatric practices in Sheridan, I believe, charge
physicians same as anyone else and see as many doctor families as I do. I,
as a patient, pay my physician 100% of her charges.  "I'm worth it." I tell
my doc.  But I feel more comfortalbe no charging physicians because I know
it made my dad so happy when his physicians gave him professional courtesy.
 He was a retired radiologist.  I figure, if forgiving a few dollars to a
colleauge's kids can make them that happy it is worth it.  Double standard?
Yes.

In a rural community, I don't think it impacts your practice financially
either way.  If I were in a community heavily populated with physicians I
would charge physicians same as anyone else.

I am interested to hear what others do about this.  There was a series
about professional courtesy in NEJM a few years back and I think they found
most docs do what I do and they recommended not doing it.

Barry
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*  Barry M. Wohl, M.D., F.A.A.P.               *
*  Northeast Wyoming Pediatric Associates, P.C.*
*  916 Jackson Ave.  Sheridan, WY.  82801      *
*  (307) 672-6451                              *
*  <www.newpa.com>          *
*                                              *
*  "Change is inevitable. Growth is optional." *
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