We write for the number of refills we want patient to until next seen, so demanding an appointment is ordinarily no problem. My major bugaboo these days is when patient changes insurance company, and needs all meds rewritten for new mail order pharmacy. As dedicated as I might be, I do not work for free, and unlike a my lawyer (who once billed me 0.1 billable hour for phone calls attempted but not completed due to busy signal), we don't get paid for time not face to face. Time and expertise is what we are selling. I may get soft on the "dog ate my furosemide" excuse, but if it is so the insurance company wants to save money, they can pay me for the privilege of assisting them. I would put this in the same category.
Last edited by dgrauman; 06/24/2011 3:03 PM.
