Re: GEN: Billing/Insurance

From: D. Ashley Hill, MD (dahmd@cfl.rr.com)
Fri Jun 27 15:37:39 2003


At Thu, 26 Jun 2003, Garry E. Siegel, M.D. wrote: >
>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.

snip

One of the largest urology groups in town announced a few weeks ago that they no longer will perform combined urologic procedures along with, for example, gynecologic procedures. For example, if a patient needs a vaginal hysterectomy and enterocele repair along with a sling, they advise that we perform the gynecologic procedures first, then, at a later date, they will perform the sling or tape procedure. This is in response to the local insurer's denial of payments for "secondary" procedures.

Ashley

--
D. Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, Florida




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Fri May 2 04:36:51 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.