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Re: Managed care/Pharm Benefits From: art fougner, md (evsono@pipeline.com) Tue Jun 20 16:19:53 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gerald P. Rodriguez: "Re: Managed care/Pharm Benefits" Previous message: Joanne Bulley, MD: "Re: failed sterilisation procedure." In reply to: ainsron@msn.com: "Fri: Questions to the gynecologist" Next in thread: ainsron@msn.com: "Re: failed sterilisation procedure." which managed care companies pls? art At Tue, 20 Jun 2000, Len2976@aol.com wrote: > >Has anyone had difficulty lately getting HMOs to approve routine U/Ss for >anomaly screens? Until recently we did an early (hopefully 1st trimester) >dating U/S in the office--which of course is often considered part of the >global fee. We then sent the patient to the hospital or an outside facility >for a complete 2nd trimester U/S. > >Until recently just a few HMOs insisted on a diagnosis. Now many will not >approve U/S for "fetal well-being" or 2nd trimester anomaly screen. Even >when we give a "diagnosis," some of them are asking for copies of prenatal >data to document this. Is anyone else experiencing this and what are you >doing about it? > >Lenora McCall, CNM -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Gerald P. Rodriguez: "Re: Managed care/Pharm Benefits" Previous message: Joanne Bulley, MD: "Re: failed sterilisation procedure." In reply to: ainsron@msn.com: "Fri: Questions to the gynecologist" Next in thread: ainsron@msn.com: "Re: failed sterilisation procedure."

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