Notice Regarding Charges for Wart Removal/Treatment

When a patient sees a health care provider for the removal of a skin lesion (almost always warts in the case of our office and our patients) and the health care provider uses medications, freezing, or other in-office techniques to remove the wart, there is a specific code that is used to charge for that treatment. This is a little different that seeing one of us for an illness that requires us to evaluate, diagnose, and treat (when applicable). The code sent to your insurance is a treatment code and carries a charge that is handled differently that the codes used to evaluate a sick child or provide preventive care.

In the past we have largely not used these codes and instead have treated wart visits much like other office visits. We've just charged for the diagnosis and management most of the time, even for children with many warts that required a lot of time. However, given the rising costs of the treatments used as well as increased demands on the provider schedules, we can no longer afford to do this.

Effective immediately, we will be using the procedure chart for any warts treated in the office. This means that you may receive a bill for the service. The exact charge will vary depending on your child's insurance and on how many warts are treated but can easily be over $200 for a single wart.

Given that there are many effective over-the-counter home treatments for warts and that warts are usually more of a cosmetic problem for children rather than a true health problem, we recommend that you treat your child's warts at home using one of the many methods available. We are happy to confirm your suspicion that your child has a wart and give you advice on treatment during your visit. If your child has a very severe case of warts (many warts, large warts, warts on the face or near the fingernails) then we recommend that your child see a dermatologist (or a podiatrist for warts on the feet) as they have access to more effective treatments.

Oregon Health Plan (including WVCH) plans do NOT cover treatment/removal of warts; OHP patients therefore WILL have a charge from our office if a wart treatment is performed. Other insurances may cover the treatment; however, if you have any questions about what conditions and procedures are covered you should contact your insurance company.

 

Important Announcement Regarding Charges for BHC

Here at Childhood Health we have been privileged to enjoy the services of a Child and Adolescent Clinical Psychologist as our Behavioral Health Consultant for almost a year now. While much of the cost of having a full-time psychologist was covered by a grant from the Mid-Valley Behavioral Health Network, that grant will soon come to an end. We will be transitioning to a model that does require us to bill for our BHC's services. Patients actively enrolled in WVCH will have behavioral services at our office automatically covered by the plan. Patients with other (commercial) insurances will start to see charges for Dr. Mauldin appear on their EOB (Explanation of Benefits) forms. As is true with all services performed at a physician's office, your insurance may or may not cover the charges. If you have any questions about whether or not there will be a charge we would ask you to contact your insurance company regarding your benefits.

Survey Coming Soon

We're getting ready to perform our second annual CAHPS CG PCMH survey later this month. What is all of that alphabet soup? CAHPS stands for Consumer Assessment of Healthcare Providers and Systems; it's the actual name of the survey. CG stands for Clinician and Group which just describes the specific version of the survey. PCMH stands for Patient Centered Medical Home, which is what WE are...  and also describes a specific version of the survey with items added to measure aspects of medical homes.

We do this in order to get valuable feedback from the patient/caregiver. We want to know how you feel we are doing with regard to important topics such as access to appointments, effectiveness of our communication, supporting the patient in self-management, preventive topics, and the skills and attitude of our office staff.

The survey will go out to a sample of our patients selected from everyone who had a visit at our office in the last year. The more surveys we get back, the more we can learn. So watch for a survey and please help us improve the care of our patients by filling it out if you receive one!