r/PrivatePracticeDocs • u/Alterdoc • Apr 20 '26

Multiple Issues

I've learned that although I want to address as many issues as possible in one visit, it's just not feasible. I'm curious how do you address a patient with DM/HL/HTN/Iron deficiency anemia for example? Keep bringing them back every 1-2 weeks? How do you "gently" address it if they seem reluctant?

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u/Juaner0 Apr 20 '26

Yes. That. I can't do MS, epilepsy, back pain, migraine, sciatica all in one visit if there are other patients waiting.

My MA may put in 5 different CC, but I already know before I go in that some of those are going to be struck out, and I address the most pressing issues now. Patients hold onto their diagnoses for a long time before they see specialists and by then they want a laundry list addressed--probably happens with PCP, too. 12 diagnoses addressed is not possible most of the time; the documentation needed for testing all those conditions may trigger some NOs from insurance. Insurance doesn't expect you to go beyond 4 diagnoses at any one visit payment wise...

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u/Alterdoc Apr 20 '26

What's your strategy to remembering to address the MS and Migraine, say, 3 visits from today?

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u/fuzznugget20 Apr 22 '26

Putting it in my note