You may have also seen 'established' patient or 'new' patient on receipts.
A doctor is going to get paid more for a new patient, typically, because they are going to spend more time with them than they would with one whose intake is already in the system.
So what happens when a patient is seen whose case is more complicated than the one before? The doctor will search for a CPT code that indicates the additional time spent so that they can be paid more. And now here is where Aetna comes in. A source tells us that a doctor can 'complicate' a visit simply by writing a prescription. If you leave with a script, Aetna, reportedly, will treat your vist as more complex.
Why the hell would they do that? A) A script doesn't indicate any additional complexity. Just like drug commercials, one can find almost every patient could 'use' a prescription. Feeling nervous? Here's 5 days worth of Xanax. You'll be fine.
and B) Why the hell would Aetna 'want' the patient to also enter the prescription reimbursement portion of their medical coverage?
If true - this is outrageous.
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