The patient in question was seen and evaluated by a MD at our clinic on 12/21/after she presented with severe sore throat and the inability to fully mobilize her jawAt the time of the visit, patient was status post tonsillectomy five days priorThe patient was evaluated by our medical staff;
a chief complaint, history of present illness and past medical history was obtained, as well as a full set of vitalsPatient was then evaluated by our MD, during which the chief complaint and medical history was thoroughly reviewedUpon examination, patient was found to have multiple pertinent findings related to her recent surgical procedurePatient had significantly reduced ROM of her jaw; inflammation and erythema of her pharynx as well as exudates were noticedPatient displayed no immediate respiratory distressPatient also reported she was taking amoxicillin but did not know the dose and did not bring the bottleUpon further examination, it was determined by our MD that best course of action would be to follow up with her current ears, nose and throat specialist (ENT)The ENT performed the procedure and would be the most qualified to revise and explore the recent tonsillectomy and make further determination for further treatmentOur MD informed the patient of his decision, with which she agreedA call was then placed by our staff to the ENT’s office prior to the patient leaving our officeThe patient as well as our MD related the issue to their medical staff who then agreed to see the patient right awayThe patient left our office with no complaintShe returned later to question if she had bloodwork if there would be another copay to be made, which we answered noThere was no mention at the time of this not being an office visit, nor a request for a copay refundThe total length of visit with the doctor on date of service was minutesThe President of our clinic later addressed the patient’s copay issue when it was brought to our attention by the patient’s mother a few days laterAfter fully reviewing the case, he explained how the above details outline a doctor’s visit under the eyes of the insurer and that co-pays are required as part of the agreement between the doctors, the patient and the insurance companyIf we can be of further assistance, please do not hesitate to contact us
The patient in question was seen and evaluated by a MD at our clinic on 12/21/after she presented with severe sore throat and the inability to fully mobilize her jawAt the time of the visit, patient was status post tonsillectomy five days priorThe patient was evaluated by our medical staff;
a chief complaint, history of present illness and past medical history was obtained, as well as a full set of vitalsPatient was then evaluated by our MD, during which the chief complaint and medical history was thoroughly reviewedUpon examination, patient was found to have multiple pertinent findings related to her recent surgical procedurePatient had significantly reduced ROM of her jaw; inflammation and erythema of her pharynx as well as exudates were noticedPatient displayed no immediate respiratory distressPatient also reported she was taking amoxicillin but did not know the dose and did not bring the bottleUpon further examination, it was determined by our MD that best course of action would be to follow up with her current ears, nose and throat specialist (ENT)The ENT performed the procedure and would be the most qualified to revise and explore the recent tonsillectomy and make further determination for further treatmentOur MD informed the patient of his decision, with which she agreedA call was then placed by our staff to the ENT’s office prior to the patient leaving our officeThe patient as well as our MD related the issue to their medical staff who then agreed to see the patient right awayThe patient left our office with no complaintShe returned later to question if she had bloodwork if there would be another copay to be made, which we answered noThere was no mention at the time of this not being an office visit, nor a request for a copay refundThe total length of visit with the doctor on date of service was minutesThe President of our clinic later addressed the patient’s copay issue when it was brought to our attention by the patient’s mother a few days laterAfter fully reviewing the case, he explained how the above details outline a doctor’s visit under the eyes of the insurer and that co-pays are required as part of the agreement between the doctors, the patient and the insurance companyIf we can be of further assistance, please do not hesitate to contact us