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Re: GEN: Billing/Insurance From: Garry E. Siegel, M.D. (garrys@mindspring.com) Fri Jun 27 10:08:33 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Fw: Billing/Insurance" Previous message: Dr. Ainsworth: "Re: Tubs in labor" In reply to: Dr. Ainsworth: "Re: GEN: Billing/Insurance" Next in thread: RModugno@aol.com: "Re: GEN: Billing/Insurance" Ron: For efficiency, we batch billing to twice a week or so, but this is an example of why we may want to do the combined stuff ASAP. That said, since the new LAVH codes depend on pathology for weight, there may be times when the billing cannot be done until the pathology is back. For a fleeting moment, I've entertained telling patients we have to check with their insurance before doing combined procedures, but I know why that won't fly. It really is absurd and abusive to us, on top of the crappy rates. Garry At Thu, 26 Jun 2003, Dr. Ainsworth wrote: > >Garry, you need to get your staff on the stick and be the first one to >bill! I've noticed the same thing when I do combined procedures with a >particular urologist. His staff must bill the next day, as his bills >always get paid ahead of mine and at the higher rate. All insurers try >to play the same game, pitting one surgeon against the other. It is one >thing if they bundle procedures I am doing, or use modifiers to reduce >procedures when I do a "blue plate special," but to do that with >different specialists who are working on complicated patients is unfair >and should not be tolerated. Sometimes I've wondered why we don't just >do them in stages, at different times. I guess the reason we don't is >because we try to do our best for our patients, even when it is not in >our self interest. Rather masochistic, aren't we!! > >>While I'm sure that my staff will sort this out, the fact that this >>happened, and that will need to appeal it, galls me. >> >>A patient was referred from a colon rectal surgeon for LAVH-BSO, as she >>was having to undergo a sphincter repair, and wanted/needed a >>hysterectomy (not the subject of this post). As it turns out, she also >>needed an anti-incontinence operation. >> >>So: >> >>Siegel did LAVH-BSO; was admitting doc, did H and P, etc. >>Colon guy did his repair >>Urologist did his thing >> >>One surgeon got 100% of the crappy HMO allowance. >>The next one got 50% >>I got 25%--will reply privately to those who want to know what the check >>was for. >> >>There are so many things wrong with health care, but the insurance mess >>is a huge part. >> >>Garry >> >>-- >>Garry E. Siegel, M.D. >>Private Practice >>Roswell, GA >> -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Re: Fw: Billing/Insurance" Previous message: Dr. Ainsworth: "Re: Tubs in labor" In reply to: Dr. Ainsworth: "Re: GEN: Billing/Insurance" Next in thread: RModugno@aol.com: "Re: GEN: Billing/Insurance"

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