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Letter to the Editor

Six Tries, Six Bills?

doi: 10.1097/01.EEM.0000554302.94146.68
Letter to the Editor
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Editor:

I wondered, as I read the article “Six Tries to Get the Diagnosis Right” by Daniel G. Miller, MD, and Matt Negaard, MD, (EMN 2019;41[1]:33; http://bit.ly/2CUQ4m4) how the billing codes for each visit would reconcile with the truncated exams that this patient endured.

Timothy Donnelly, MD

Dover, NH

Drs. Miller and Negaard respond: Dr. Donnelly's question raises an interesting point. While a level IV chart requires a detailed exam, it does not require the exam to be accurate or diagnostic. This suggests that our current system often bills for how much we do to patients, rather than how well we care for them.

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