Billing for Family Members Seen Take quiz
During the Same Visit

When more than one person in a family attends a physician's office at the same time, a visit fee is not always billable for each family member.

Visits that can be billed for more than one family member during the same visit:

When each family member is receiving medical diagnosis and/or treatment during one visit, it is appropriate to bill a service for each patient.
For example, if a parent and child are both seen for diagnosis and treatment of upper respiratory infection (URI) during the same visit, a visit fee may be billed for each patient.

Visits that cannot be billed for more than one family member during the same visit :

When one family member has a medical problem, it is almost always inappropriate to bill for discussion with other family members about that patient's condition.
For example, if a child is seen for upper respiratory infection (URI) and the physician takes the history from the parent and gives treatment instructions to the parent, a visit fee may be billed only for the child.
Tips: Standard medical care of a patient may require that the physician communicate with a parent, spouse, or caregiver of the patient. Routine communication is considered to be included in the initial visit fee for the patient, even if the communication takes place on a different day.
  For more information please refer to Preamble B.1 of the Medical Services Commission (MSC) Payment Schedule.


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