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Immunization Visit co-pays
Jan
5
With the increasing requests of some parents to have only two
vaccines given at a time, do any of you charge a co-pay when they
return in a week or two for the remaining vaccines? We have very few
requesting this, but there are some. Up front we tell them that we
do NOT immunize according to an internet doctor's alternative
schedule. We immunize according to the scheduled put forth by the
CDC and AAP. If we still cannot convince them to have the infant
receive all 4 vaccines at the visit, the only choice is to return in
one week or two weeks for the remainder. Even this additional visit
increases the workload of the entire staff.
So, we have decided to charge a co-pay for those returning due to
immunization delay per parental request. Parents will be notified
before they leave the office that the return visit will be ANOTHER co-
pay.
Those coming back for vaccine administration deferred because of
severe illness (provider recommended) will not have to pay a co-pay.
Does your office charge co-pays for additional immunization visits?
Karen Kohlruss RN BSN
Holland Pediatrics
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Immunization Visit co-pays
Not only do we charge another copay, we schedule an entire well child exam.
On the advice of our local infectious diseases expert, the minimum interval
between vaccines not given at the same time is one month. We strongly
discourage this course of action but will do it if that's the only way the child will
receive all the recommended immunizations..............Bill Wassel, NJ
In a message dated 1/5/2009 9:18:06 P.M. Eastern Standard Time,
hidden@email-address writes:
With the increasing requests of some parents to have only two
vaccines given at a time, do any of you charge a co-pay when they
return in a week or two for the remaining vaccines? We have very few
requesting this, but there are some. Up front we tell them that we
do NOT immunize according to an internet doctor's alternative
schedule. We immunize according to the scheduled put forth by the
CDC and AAP. If we still cannot convince them to have the infant
receive all 4 vaccines at the visit, the only choice is to return in
one week or two weeks for the remainder. Even this additional visit
increases the workload of the entire staff.
So, we have decided to charge a co-pay for those returning due to
immunization delay per parental request. Parents will be notified
before they leave the office that the return visit will be ANOTHER co-
pay.
Those coming back for vaccine administration deferred because of
severe illness (provider recommended) will not have to pay a co-pay.
Does your office charge co-pays for additional immunization visits?
Karen Kohlruss RN BSN
Holland Pediatrics
Immunization Visit co-pays
If you go less than one month (I think it is technically 30 days), the
child will need to get an extra immunization to meet the requirements of
schools. If you go 29 days, one of the immunizations won't count. So you
have to make sure that you get the minimum number of days between
immunizations.
Jeff
hidden@email-address wrote:
> Not only do we charge another copay, we schedule an entire well child exam.
> On the advice of our local infectious diseases expert, the minimum interval
> between vaccines not given at the same time is one month. We strongly
> discourage this course of action but will do it if that's the only way the child will
> receive all the recommended immunizations..............Bill Wassel, NJ
>
>
> In a message dated 1/5/2009 9:18:06 P.M. Eastern Standard Time,
> hidden@email-address writes:
>
> With the increasing requests of some parents to have only two
> vaccines given at a time, do any of you charge a co-pay when they
> return in a week or two for the remaining vaccines? We have very few
> requesting this, but there are some. Up front we tell them that we
> do NOT immunize according to an internet doctor's alternative
> schedule. We immunize according to the scheduled put forth by the
> CDC and AAP. If we still cannot convince them to have the infant
> receive all 4 vaccines at the visit, the only choice is to return in
> one week or two weeks for the remainder. Even this additional visit
> increases the workload of the entire staff.
>
> So, we have decided to charge a co-pay for those returning due to
> immunization delay per parental request. Parents will be notified
> before they leave the office that the return visit will be ANOTHER co-
> pay.
>
> Those coming back for vaccine administration deferred because of
> severe illness (provider recommended) will not have to pay a co-pay.
>
> Does your office charge co-pays for additional immunization visits?
>
> Karen Kohlruss RN BSN
> Holland Pediatrics
>
Immunization Visit co-pays
Just a note...
The minimum interval between doses of the SAME vaccine is 28 days,
live or inactivated (one exception is Varivax in children 1-12 years
where it is 3 months between #1 and #2).
There is NO minimum spacing between different inactivated vaccines.
They could get one today, one tomorrow, one the next day and one the
next (absurd, but true).
Like you, if all else fails and the parent is willing to come back in
1-2 weeks for the remainder, the child is still "on time" since he
will still be two months of age or four months of age, etc. We at
least get them immunized.
Do you see that parents eventually take the additional levied copay
into account when deciding if they will postpone the remainder of
vaccines for a couple of weeks?
Karen Kohlruss RN BSN
Holland Pediatrics
On Jan 5, 2009, at 9:21 PM, hidden@email-address wrote:
> Not only do we charge another copay, we schedule an entire well
> child exam.
> On the advice of our local infectious diseases expert, the minimum
> interval
> between vaccines not given at the same time is one month. We strongly
> discourage this course of action but will do it if that's the only
> way the child will
> receive all the recommended immunizations..............Bill Wassel, NJ
>
>
> In a message dated 1/5/2009 9:18:06 P.M. Eastern Standard Time,
> hidden@email-address writes:
>
> With the increasing requests of some parents to have only two
> vaccines given at a time, do any of you charge a co-pay when they
> return in a week or two for the remaining vaccines? We have very few
> requesting this, but there are some. Up front we tell them that we
> do NOT immunize according to an internet doctor's alternative
> schedule. We immunize according to the scheduled put forth by the
> CDC and AAP. If we still cannot convince them to have the infant
> receive all 4 vaccines at the visit, the only choice is to return in
> one week or two weeks for the remainder. Even this additional visit
> increases the workload of the entire staff.
>
> So, we have decided to charge a co-pay for those returning due to
> immunization delay per parental request. Parents will be notified
> before they leave the office that the return visit will be ANOTHER
> co-
> pay.
>
> Those coming back for vaccine administration deferred because of
> severe illness (provider recommended) will not have to pay a co-pay.
>
> Does your office charge co-pays for additional immunization visits?
>
> Karen Kohlruss RN BSN
> Holland Pediatrics
>
> --
> **-------------------------------------------------------------------
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> To unsubscribe: mail "hidden@email-address" with "unsubscribe"
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>
>
>
> **************New year...new news. Be the first to know what is
> making
> headlines. (http://www.aol.com/?ncid=emlcntaolcom00000026)
>
> --
> **-------------------------------------------------------------------
> This message is from PEDTALK - a Pediatric Focused email
> discussion group.
> List address: "hidden@email-address"
> Admin questions: "hidden@email-address" or "http://www.pcc.com/
> lists/"
> To unsubscribe: mail "hidden@email-address" with "unsubscribe"
> in the body of the message.
>
RE: Immunization Visit co-pays
They do not. They are more concerned about their piece of mind than a $5-30
copay.
It is not rationale; it is emotional. But the media and web based
(dis)information are so compelling (to them), that this is one small way in
which parents can try to "protect" their children.
We all realize that this is not so, that they are putting their (and other)
children at risk, but no arguments, no discussions, no data can dissuade
them. The parents are terrorized and almost frozen with concern and worry.
My view is, work with the parents; provide them with science based accurate
information at ever opportunity -- but work with them. Otherwise, the
children will be provided care by someone who AGREES with the disinformation
and start the kids on Vitamin B12 shots instead (or some other lunacy)
Let me end with 2 quotes:
==> There are in fact two things, science and opinion; the former begets
knowledge, the latter ignorance. -Hippocrates
==> I think that parents ought to get some idea of how the so- called
"experts" have changed their advice over the decades, so that they won't
take them deadly seriously, and so that if the parent has the strong
feeling, "I don't like this advice," the parent won't feel compelled to
follow it. . . . So don't worry about trying to do a perfect job. There is
no perfect job. There is no one way of raising your children. -Benjamin
Spock
mark
>>-----Original Message-----
>>From: hidden@email-address [mailto:hidden@email-address] On Behalf Of RN
>>Sent: Monday, January 05, 2009 9:36 PM
>>To: hidden@email-address
>>Cc: hidden@email-address
>>Subject: Re: Immunization Visit co-pays
>>
>>>>
>>Do you see that parents eventually take the additional levied copay
>>into account when deciding if they will postpone the remainder of
>>vaccines for a couple of weeks?
>>
>>Karen Kohlruss RN BSN
>>Holland Pediatrics
>>
Immunization Visit co-pays
They don't usually care about the extra copay, but telling them that they
may run out of their allotted covered well visits in a given year sometimes
makes them pause and rethink their position.........Bill Wassel
In a message dated 1/5/2009 9:35:37 P.M. Eastern Standard Time,
hidden@email-address writes:
Just a note...
The minimum interval between doses of the SAME vaccine is 28 days,
live or inactivated (one exception is Varivax in children 1-12 years
where it is 3 months between #1 and #2).
There is NO minimum spacing between different inactivated vaccines.
They could get one today, one tomorrow, one the next day and one the
next (absurd, but true).
Like you, if all else fails and the parent is willing to come back in
1-2 weeks for the remainder, the child is still "on time" since he
will still be two months of age or four months of age, etc. We at
least get them immunized.
Do you see that parents eventually take the additional levied copay
into account when deciding if they will postpone the remainder of
vaccines for a couple of weeks?
Karen Kohlruss RN BSN
Holland Pediatrics
On Jan 5, 2009, at 9:21 PM, hidden@email-address wrote:
> Not only do we charge another copay, we schedule an entire well
> child exam.
> On the advice of our local infectious diseases expert, the minimum
> interval
> between vaccines not given at the same time is one month. We strongly
> discourage this course of action but will do it if that's the only
> way the child will
> receive all the recommended immunizations..............Bill Wassel, NJ
>
>
> In a message dated 1/5/2009 9:18:06 P.M. Eastern Standard Time,
> hidden@email-address writes:
>
> With the increasing requests of some parents to have only two
> vaccines given at a time, do any of you charge a co-pay when they
> return in a week or two for the remaining vaccines? We have very few
> requesting this, but there are some. Up front we tell them that we
> do NOT immunize according to an internet doctor's alternative
> schedule. We immunize according to the scheduled put forth by the
> CDC and AAP. If we still cannot convince them to have the infant
> receive all 4 vaccines at the visit, the only choice is to return in
> one week or two weeks for the remainder. Even this additional visit
> increases the workload of the entire staff.
>
> So, we have decided to charge a co-pay for those returning due to
> immunization delay per parental request. Parents will be notified
> before they leave the office that the return visit will be ANOTHER
> co-
> pay.
>
> Those coming back for vaccine administration deferred because of
> severe illness (provider recommended) will not have to pay a co-pay.
>
> Does your office charge co-pays for additional immunization visits?
>
> Karen Kohlruss RN BSN
> Holland Pediatrics
>
> --
> **-------------------------------------------------------------------
> This message is from PEDTALK - a Pediatric Focused email
> discussion group.
> List address: "hidden@email-address"
> Admin questions: "hidden@email-address" or "http://www.pcc.com/
> lists/"
> To unsubscribe: mail "hidden@email-address" with "unsubscribe"
> in the body of the message.
>
>
>
> **************New year...new news. Be the first to know what is
> making
> headlines. (http://www.aol.com/?ncid=emlcntaolcom00000026)
>
> --
> **-------------------------------------------------------------------
> This message is from PEDTALK - a Pediatric Focused email
> discussion group.
> List address: "hidden@email-address"
> Admin questions: "hidden@email-address" or "http://www.pcc.com/
> lists/"
> To unsubscribe: mail "hidden@email-address" with "unsubscribe"
> in the body of the message.
>
**************New year...new news. Be the first to know what is making
headlines. (http://www.aol.com/?ncid=emlcntaolcom00000026)
Immunization Visit co-pays
In the past two days we have had several people request this very thing, I
like the idea of having the doctor exam them upon return that way you don't
lose out on the injection fee versus the counseling fee. I think I will
suggest that to my doctors.
thanks
Donna
________________________________
From: "hidden@email-address"
To:
hidden@email-address; hidden@email-address
Sent: Monday, January 5, 2009 8:21:18
PM
Subject: Re: Immunization Visit co-pays
Not only do we charge another
copay, we schedule an entire well child exam.
On the advice of our local
infectious diseases expert, the minimum interval
between vaccines not given
at the same time is one month. We strongly
discourage this course of action
but will do it if that's the only way the child will
receive all the
recommended immunizations..............Bill Wassel, NJ
In a message dated
1/5/2009 9:18:06 P.M. Eastern Standard Time,
hidden@email-address writes:
With the increasing requests of some parents to have only two
vaccines
given at a time, do any of you charge a co-pay when they
return in a week
or two for the remaining vaccines? We have very few
requesting this, but
there are some. Up front we tell them that we
do NOT immunize according to
an internet doctor's alternative
schedule. We immunize according to the
scheduled put forth by the
CDC and AAP. If we still cannot convince them
to have the infant
receive all 4 vaccines at the visit, the only choice is
to return in
one week or two weeks for the remainder. Even this additional
visit
increases the workload of the entire staff.
So, we have decided to
charge a co-pay for those returning due to
immunization delay per parental
request. Parents will be notified
before they leave the office that the
return visit will be ANOTHER co-
pay.
Those coming back for vaccine
administration deferred because of
severe illness (provider recommended)
will not have to pay a co-pay.
Does your office charge co-pays for
additional immunization visits?
Karen Kohlruss RN BSN
Holland Pediatrics
RE: Immunization Visit co-pays
Minimum of one month is only related to delivery of a live virus vaccine.
There is no minimal otherwise.
We do a nurse visit. Can't always charge a copay in this scenario but I would
rather see patients I need to see than not. My day is full enough.
Brian
Brian Bowman, MD, PhD
Apex Pediatrics
-----Original Message-----
From: hidden@email-address on behalf of Mary Lewis
Sent: Tue 1/6/2009 4:16 PM
To: hidden@email-address; hidden@email-address; hidden@email-address
Subject: Re: Immunization Visit co-pays
In the past two days we have had several people request this very thing, I
like the idea of having the doctor exam them upon return that way you don't
lose out on the injection fee versus the counseling fee. I think I will
suggest that to my doctors.
thanks
Donna
________________________________
From: "hidden@email-address"
To:
hidden@email-address; hidden@email-address
Sent: Monday, January 5, 2009 8:21:18
PM
Subject: Re: Immunization Visit co-pays
Not only do we charge another
copay, we schedule an entire well child exam.
On the advice of our local
infectious diseases expert, the minimum interval
between vaccines not given
at the same time is one month. We strongly
discourage this course of action
but will do it if that's the only way the child will
receive all the
recommended immunizations..............Bill Wassel, NJ
In a message dated
1/5/2009 9:18:06 P.M. Eastern Standard Time,
hidden@email-address writes:
With the increasing requests of some parents to have only two
vaccines
given at a time, do any of you charge a co-pay when they
return in a week
or two for the remaining vaccines? We have very few
requesting this, but
there are some. Up front we tell them that we
do NOT immunize according to
an internet doctor's alternative
schedule. We immunize according to the
scheduled put forth by the
CDC and AAP. If we still cannot convince them
to have the infant
receive all 4 vaccines at the visit, the only choice is
to return in
one week or two weeks for the remainder. Even this additional
visit
increases the workload of the entire staff.
So, we have decided to
charge a co-pay for those returning due to
immunization delay per parental
request. Parents will be notified
before they leave the office that the
return visit will be ANOTHER co-
pay.
Those coming back for vaccine
administration deferred because of
severe illness (provider recommended)
will not have to pay a co-pay.
Does your office charge co-pays for
additional immunization visits?
Karen Kohlruss RN BSN
Holland Pediatrics
RE: Immunization Visit co-pays
In my office, if a patient is coming for a shot only visit, it is a nurse
only visit. If they are coming for this visit because we ran out of a
vaccine the child needed when he came for the well visit or it is the 2nd of
a 2 part flushot series there is no copay. Otherwise there is a copay
charged at the time and the parent is informed ahead of time. One time a
parent insisted on breaking up shots and I didn't mention there would be a
copay when they came back for the subsequent shot only visits. When they
came back and the staff attempted to collect the copay, the mom was shocked
and upset that she had to pay it. When I explained why she had to pay it,
she promptly had all the rest of the vaccines the kid was supposed to have
gotten in the first place given then and there. So much for the worries
about too many vaccines at once!! Since that experience, I always inform
the parent who asks for special vaccine schedules of the copay thing. I
have never had anyone raise a stink about it since.
Lisa Glasser
cell: 702 809-3488
-----Original Message-----
From: hidden@email-address [mailto:hidden@email-address] On Behalf Of Dr.
Brian Bowman
Sent: Tuesday, January 06, 2009 3:23 PM
To: hidden@email-address
Subject: RE: Immunization Visit co-pays
Minimum of one month is only related to delivery of a live virus vaccine.
There is no minimal otherwise.
We do a nurse visit. Can't always charge a copay in this scenario but I
would
rather see patients I need to see than not. My day is full enough.
Brian
Brian Bowman, MD, PhD
Apex Pediatrics
-----Original Message-----
From: hidden@email-address on behalf of Mary Lewis
Sent: Tue 1/6/2009 4:16 PM
To: hidden@email-address; hidden@email-address; hidden@email-address
Subject: Re: Immunization Visit co-pays
In the past two days we have had several people request this very thing, I
like the idea of having the doctor exam them upon return that way you don't
lose out on the injection fee versus the counseling fee. I think I will
suggest that to my doctors.
thanks
Donna
________________________________
From: "hidden@email-address"
To:
hidden@email-address; hidden@email-address
Sent: Monday, January 5, 2009 8:21:18
PM
Subject: Re: Immunization Visit co-pays
Not only do we charge another
copay, we schedule an entire well child exam.
On the advice of our local
infectious diseases expert, the minimum interval
between vaccines not given
at the same time is one month. We strongly
discourage this course of action
but will do it if that's the only way the child will
receive all the
recommended immunizations..............Bill Wassel, NJ
In a message dated
1/5/2009 9:18:06 P.M. Eastern Standard Time,
hidden@email-address writes:
With the increasing requests of some parents to have only two
vaccines
given at a time, do any of you charge a co-pay when they
return in a week
or two for the remaining vaccines? We have very few
requesting this, but
there are some. Up front we tell them that we
do NOT immunize according to
an internet doctor's alternative
schedule. We immunize according to the
scheduled put forth by the
CDC and AAP. If we still cannot convince them
to have the infant
receive all 4 vaccines at the visit, the only choice is
to return in
one week or two weeks for the remainder. Even this additional
visit
increases the workload of the entire staff.
So, we have decided to
charge a co-pay for those returning due to
immunization delay per parental
request. Parents will be notified
before they leave the office that the
return visit will be ANOTHER co-
pay.
Those coming back for vaccine
administration deferred because of
severe illness (provider recommended)
will not have to pay a co-pay.
Does your office charge co-pays for
additional immunization visits?
Karen Kohlruss RN BSN
Holland Pediatrics
RE: Immunization Visit co-pays
How can you be the one to say if there is a copay or not.....it is usually
determined by the insurance company and can differ by their plans. We
always tell the patients that we do not decide if they should pay a copay, the
insurance company does, we just follow the rules.
Dianna
On 6 Jan 2009 at 20:58, Dr.Glasser wrote:
From: Dr.Glasser
To: "'Dr. Brian Bowman'"
,
Subject: RE: Immunization Visit co-pays
Date sent: Tue, 6 Jan 2009 20:58:49 -0800
Send reply to: Dr.Glasser
> In my office, if a patient is coming for a shot only visit, it is a nurse
> only visit. If they are coming for this visit because we ran out of a
> vaccine the child needed when he came for the well visit or it is the 2nd of
> a 2 part flushot series there is no copay. Otherwise there is a copay
> charged at the time and the parent is informed ahead of time. One time a
> parent insisted on breaking up shots and I didn't mention there would be a
> copay when they came back for the subsequent shot only visits. When they
> came back and the staff attempted to collect the copay, the mom was shocked
> and upset that she had to pay it. When I explained why she had to pay it,
> she promptly had all the rest of the vaccines the kid was supposed to have
> gotten in the first place given then and there. So much for the worries
> about too many vaccines at once!! Since that experience, I always inform
> the parent who asks for special vaccine schedules of the copay thing. I
> have never had anyone raise a stink about it since.
>
> Lisa Glasser
> cell: 702 809-3488
>
>
>
>
> -----Original Message-----
> From: hidden@email-address [mailto:hidden@email-address] On Behalf Of Dr.
> Brian Bowman
> Sent: Tuesday, January 06, 2009 3:23 PM
> To: hidden@email-address
> Subject: RE: Immunization Visit co-pays
>
> Minimum of one month is only related to delivery of a live virus vaccine.
> There is no minimal otherwise.
>
> We do a nurse visit. Can't always charge a copay in this scenario but I
> would
> rather see patients I need to see than not. My day is full enough.
>
> Brian
>
> Brian Bowman, MD, PhD
> Apex Pediatrics
>
>
>
> -----Original Message-----
> From: hidden@email-address on behalf of Mary Lewis
> Sent: Tue 1/6/2009 4:16 PM
> To: hidden@email-address; hidden@email-address; hidden@email-address
> Subject: Re: Immunization Visit co-pays
>
> In the past two days we have had several people request this very thing, I
> like the idea of having the doctor exam them upon return that way you don't
> lose out on the injection fee versus the counseling fee. I think I will
> suggest that to my doctors.
>
> thanks
> Donna
>
>
> ________________________________
> From: "hidden@email-address"
> To:
> hidden@email-address; hidden@email-address
> Sent: Monday, January 5, 2009 8:21:18
> PM
> Subject: Re: Immunization Visit co-pays
>
> Not only do we charge another
> copay, we schedule an entire well child exam.
> On the advice of our local
> infectious diseases expert, the minimum interval
> between vaccines not given
> at the same time is one month. We strongly
> discourage this course of action
> but will do it if that's the only way the child will
> receive all the
> recommended immunizations..............Bill Wassel, NJ
>
>
> In a message dated
> 1/5/2009 9:18:06 P.M. Eastern Standard Time,
> hidden@email-address writes:
> With the increasing requests of some parents to have only two
> vaccines
> given at a time, do any of you charge a co-pay when they
> return in a week
> or two for the remaining vaccines? We have very few
> requesting this, but
> there are some. Up front we tell them that we
> do NOT immunize according to
> an internet doctor's alternative
> schedule. We immunize according to the
> scheduled put forth by the
> CDC and AAP. If we still cannot convince them
> to have the infant
> receive all 4 vaccines at the visit, the only choice is
> to return in
> one week or two weeks for the remainder. Even this additional
> visit
> increases the workload of the entire staff.
>
> So, we have decided to
> charge a co-pay for those returning due to
> immunization delay per parental
> request. Parents will be notified
> before they leave the office that the
> return visit will be ANOTHER co-
> pay.
>
> Those coming back for vaccine
> administration deferred because of
> severe illness (provider recommended)
> will not have to pay a co-pay.
>
> Does your office charge co-pays for
> additional immunization visits?
>
> Karen Kohlruss RN BSN
> Holland Pediatrics
RE: Immunization Visit co-pays
Actually, you are right about that. The thing is that I feel badly charging
them a copay when the reason they are coming back has nothing to do with any
"medically related issue". If I had had the vaccines when they came for
their well visit, they wouldn't be having to come back. I figure if the
insco does an audit and that comes up, they can ding me for that and if I
have to go after the copay I will.
Lisa Glasser
cell: 702 809-3488
-----Original Message-----
From: hidden@email-address [mailto:hidden@email-address] On Behalf Of
Dianna Tolen
Sent: Wednesday, January 07, 2009 5:44 PM
To: hidden@email-address
Subject: RE: Immunization Visit co-pays
How can you be the one to say if there is a copay or not.....it is usually
determined by the insurance company and can differ by their plans. We
always tell the patients that we do not decide if they should pay a copay,
the
insurance company does, we just follow the rules.
Dianna
On 6 Jan 2009 at 20:58, Dr.Glasser wrote:
From: Dr.Glasser
To: "'Dr. Brian Bowman'"
,
Subject: RE: Immunization Visit co-pays
Date sent: Tue, 6 Jan 2009 20:58:49 -0800
Send reply to: Dr.Glasser
> In my office, if a patient is coming for a shot only visit, it is a nurse
> only visit. If they are coming for this visit because we ran out of a
> vaccine the child needed when he came for the well visit or it is the 2nd
of
> a 2 part flushot series there is no copay. Otherwise there is a copay
> charged at the time and the parent is informed ahead of time. One time a
> parent insisted on breaking up shots and I didn't mention there would be a
> copay when they came back for the subsequent shot only visits. When they
> came back and the staff attempted to collect the copay, the mom was
shocked
> and upset that she had to pay it. When I explained why she had to pay it,
> she promptly had all the rest of the vaccines the kid was supposed to have
> gotten in the first place given then and there. So much for the worries
> about too many vaccines at once!! Since that experience, I always inform
> the parent who asks for special vaccine schedules of the copay thing. I
> have never had anyone raise a stink about it since.
>
> Lisa Glasser
> cell: 702 809-3488
>
>
>
>
> -----Original Message-----
> From: hidden@email-address [mailto:hidden@email-address] On Behalf Of
Dr.
> Brian Bowman
> Sent: Tuesday, January 06, 2009 3:23 PM
> To: hidden@email-address
> Subject: RE: Immunization Visit co-pays
>
> Minimum of one month is only related to delivery of a live virus vaccine.
> There is no minimal otherwise.
>
> We do a nurse visit. Can't always charge a copay in this scenario but I
> would
> rather see patients I need to see than not. My day is full enough.
>
> Brian
>
> Brian Bowman, MD, PhD
> Apex Pediatrics
>
>
>
> -----Original Message-----
> From: hidden@email-address on behalf of Mary Lewis
> Sent: Tue 1/6/2009 4:16 PM
> To: hidden@email-address; hidden@email-address; hidden@email-address
> Subject: Re: Immunization Visit co-pays
>
> In the past two days we have had several people request this very thing, I
> like the idea of having the doctor exam them upon return that way you
don't
> lose out on the injection fee versus the counseling fee. I think I will
> suggest that to my doctors.
>
> thanks
> Donna
>
>
> ________________________________
> From: "hidden@email-address"
> To:
> hidden@email-address; hidden@email-address
> Sent: Monday, January 5, 2009 8:21:18
> PM
> Subject: Re: Immunization Visit co-pays
>
> Not only do we charge another
> copay, we schedule an entire well child exam.
> On the advice of our local
> infectious diseases expert, the minimum interval
> between vaccines not given
> at the same time is one month. We strongly
> discourage this course of action
> but will do it if that's the only way the child will
> receive all the
> recommended immunizations..............Bill Wassel, NJ
>
>
> In a message dated
> 1/5/2009 9:18:06 P.M. Eastern Standard Time,
> hidden@email-address writes:
> With the increasing requests of some parents to have only two
> vaccines
> given at a time, do any of you charge a co-pay when they
> return in a week
> or two for the remaining vaccines? We have very few
> requesting this, but
> there are some. Up front we tell them that we
> do NOT immunize according to
> an internet doctor's alternative
> schedule. We immunize according to the
> scheduled put forth by the
> CDC and AAP. If we still cannot convince them
> to have the infant
> receive all 4 vaccines at the visit, the only choice is
> to return in
> one week or two weeks for the remainder. Even this additional
> visit
> increases the workload of the entire staff.
>
> So, we have decided to
> charge a co-pay for those returning due to
> immunization delay per parental
> request. Parents will be notified
> before they leave the office that the
> return visit will be ANOTHER co-
> pay.
>
> Those coming back for vaccine
> administration deferred because of
> severe illness (provider recommended)
> will not have to pay a co-pay.
>
> Does your office charge co-pays for
> additional immunization visits?
>
> Karen Kohlruss RN BSN
> Holland Pediatrics