We don't charge for paperwork. Our population is mostly medicaid and they would be resistant to that. We do have some policies:
1. You have to bring or mail the form already filled with child's name, parent's name, etc. to the office. You can't fax or email it. So this helps with the cost of paper and ink. ALSO I think this makes people think more carefully about whether they really need the form or not. (This is my speculation.)
2. You get it back in 3 business days. If you want the form filled out immediately, you have to make an appointment, so we can get reimbursed that way. You can bill 99211 for a visit without a sick diagnosis code. So if they have copay/deductible, they have to pay that.
3. For physicals, we just schedule a well checkup so that we get that reimbursement. This works for us bc we are not booked out for months, so a visit for a sports physical and CU at the same time can be scheduled within 1 week.
4. For patients who need lots of DME, supplies form, we tell them they have to be seen every 6 months. Usually for these, as long as they were seen within 6 months, we will accept mailed forms (not faxed) from the supplies companies and fax them back within 3 business days. Some companies like to use reps to drop off and pick up the forms. They have no problems with the no fax rule.
5. There's an exception for WIC forms. That form we provide during well checks. If the baby needs a formula change, it's a visit and we'll provide the form.
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