Why doctors don't perform office procedures the same day as an evaluation

My doctor's practice has
> signs up specifically requesting that you make
> additional visits to bring up other issues.
>
> >>>>>>>>>>>>>>>>>>>>>>

Medicare part b physician payment methodology (and therefore most payer methodology) has evolved to encourage this, I think. If a Doctor bills an office visit that was a follow-up on a patient's sugar diabetes, and the patient uses this visit to also have the doctor look at his ingrown toenail, Medicare (and most other payers) will likely deny the toenail service, even if it took up most of the time, and only pay for the office visit.
(http://www.cms.hhs.gov/NationalCorrectCodInitEd/)

Coding and claims. Welcome to a difficult world where everything should make sense and be fair, and few things ever do or are.

dras