On Mon, 16 Nov 1998 21:32:36 -0000, "Trefor Roscoe"
<[log in to unmask]> wrote:
>HOACPM (hang on a cotton pickin minute) You can only legally claim that you are providing a service if you have a consultation with
>the patient at which contraceptive services are discussed and are provided. If you say do you want the pill and they say no I have
>been sterilised, you may be offering contraceptive services but you are not providing them. Hence you can only claim fraudulently.
>
I have to disagree with you here. The main "service" I provide to all
my patients is advice and in my opinion this may appropriately be
provided even in situations where contraception is not currently
needed, e.g. counselling a teenage girl about avoiding pregnancy while
on oxytet. for acne even though she is currently not having sex.
One I'm not sure about is where you see a woman and give her six
month's worth of the pill just too early to legitimately put in a
claim. When, perhaps 1 or 2 months later, the claim is due I would
argue it is OK to claim even though you don't see her at the time as,
to the best of your knowledge, she is still swallowing the pills you
prescribed. The alternative is to prescribe her an artificially small
amount of pills just to force her to come back to see you on the claim
date, which is just plain silly.
David
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Dr David Evans
Cardiff
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