Cindy,
Understand the thought behind that, as it certainly makes it easier on the billers, or people who do charge entry, by not having to remember to use modifiers. Now this is just my two cents here, yet, these are jobs and having patient's come back to make someone elses job easier seems to not put the patient into the primary position they're supposed to be in.
Agreed there are times when a patient schedules an appointment for one thing and then wants to discuss completely different issues that could put constraints upon the time the provider has, and when those issues are not of any type of severity, yes the patient ought to be asked to come back. It just doesn't seem right to do that to a patient for a B12 and an allergy injection on the same day when they both can be billed and paid if performed by the same provider/office on the same day. In my honest opinion, that's what I believe because if I were a patient needing these two easily given services, I would not stay with an office who asked me to come in two separate occasions. Especially with gas prices the way they are now, lol.
Kris