Still early with reimbursements coming in but so far so good for near equivalent charges for secure video chats as office visits, (medicare about 20$ less on 99213) and we will do telephone consults if patient unable to do secure video chats. Another nice feature with Updox and the secure video chat is when I am done "facetiming" with the patient I can print up a summary from updox secure video chat by clicking the tab "summary of secure video chat" and the amount of time is recorded, so that helps me determine level of service as well as the complexity during the visit. Also, I am discovering all kinds of niches for secure video chats, the more I use the more I discover, depression with phq9, cellultis, chest pain screening, diarrhea eval, allergies, colds/covid 19 questions, bp f/u. I don't know about any of you but I am having to retrain my brain on how to handle the office during the pandemic, very few face to face appts maybe 2-3 at most a day, and calls and portal messages and secure texts most of the time are turning into secure video chats or telephone consults with me, but by the end of the day I am really tired. I think a lot may be stress worry but some of it just learning how to do things a bit differently without the tactile sense involved. Trying to get at least 10 visits (virtual or face to face) a day and most days exceeding that for now.
