Once again, screwed by the insurance company. So, 20 minutes for $31.15. That's a joke. Let them go to the ED for Medicare to pay $250 and give everyone Covid-19. My idea, although, probably stupid I think is just as safe and I will be able to have a better idea how sick the patient is. Have them wait in their car, fill out a history. Take their temp. Look at them. Write them a script for amoxicillin and Tessalon Perles. Then, make them sign a disclaimer and that they will go to the nearest ED or call if they get 1% sicker or 0.1 degree hotter. I should be able to write this up and get a decent CPT code. One good thing about Medicaid or MaineCare is they tend not to audit solo practitioners, and I think this shows a greater amount of care and time.
I am not knocking video visits. Just wonder if my CMA hands them a sheet, takes an oral temp, and I read the sheet, ask a few questions, and document it at the end of the day.
I think one of the toughest parts will be having a healthy wcc with three siblings and both parents. They need to be home or outside.
