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From: Bradley Cheek <[log in to unmask]>
To: GP-UK <[log in to unmask]>
Date: 04 September 1998 18:47
Subject: 1001 claims
>Our friendly health authority has recently started deducting the
appropriate number of quarter's fee from the annual contraceptive claim
(1001 or 1002) if the patient becomes pregnant. Does this happen elsewhere?
>
>It is my assertion that the fee is an annual fee (it is defined in the red
book as such, it is just paid quarterly) and therefore should be paid in
full. >Bradley Cheek
Your HA is wrong. It is of course perfectly possible to give contraceptive
advice to a patient during her pregnancy, and so you are entitled to
initiate, let alone continue, a claim even if the patient is pregnant at the
time. ( Giving advice qualifies you for payment). It is indeed an annual
fee, paid quarterly, but if the patient transfers in year to a different
doctor the claim then ceases to attract further quarterly payment. Refer the
HA to paragraph 29.7, and 29.9 of the Red Book.
Peter Fellows, GPC
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