A physician often charges a follow-up visit to patients which less than the fee of the first visit. However, in the follow up visit the patient again need to be examined, analyzed on the basis of reports of diagnostic tests and issued a modified prescription. Sometimes it may just get restricted to see the progress of treatment and recommending the continuation of the existing prescription, but many times it does not. Even for follow-up visits of a pregnant woman to her gynecologist, sometimes it needs more effort and attention in subsequent visits than the first one.

In this context, I would like to ask my esteemed colleagues here, that should the follow up fee and the fee of first visit be same? If not, how should we define a follow up visit? Is it possible to charge patient according the effort given by the doctor in that visit?