When you see a doctor, he doesn’t fill in the level of complexity of your
visit beforehand, he does it after the fact.  (When appointments are
scheduled, an estimation of time that will be needed is made to know how
close to schedule the next appointment, but if that were a perfect system,
we would never find ourselves waiting in the doc’s office!)  Why should it
be different for lactation visits?  Many have commented that what you hear
ahead of time doesn’t necessarily pan out in the visit itself.  I think we
have all had experiences where we thought it should take a few minutes and
it took well over an hour as well as situations we thought were going to be
very complicated that were “solved” in just a few minutes!

 

Wouldn’t it be sufficient to classify by the time entailed?  We did this at
the hospital where I worked.  For inpatient visits (for our records, not
billing) we classified by <15 min., 15-30 min, 31-60 min and over an hour.
For OP visits I believe it was <30 min, 30-60 min, 61-90 min and over 90
min.  When we had outpatients, we tried to schedule about 1 ½ hours apart,
never less than 1 hour apart.  When we were done before that time, there was
always record keeping, phone calls, reading etc. that we could do to fill in
until the next scheduled visit!  Incidentally, charting and reporting time
should be considered part of the time charged for the visit!

 

Winnie


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