-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: GEN: Billing/Insurance From: art fougner, md (evsono@pipeline.com) Fri Jun 27 17:25:16 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: GEN: Billing/Insurance" Previous message: zygote@icsi.net: "Re: Legal question" In reply to: D. Ashley Hill, MD: "Re: GEN: Billing/Insurance" Next in thread: RModugno@aol.com: "Re: GEN: Billing/Insurance" looks as though this is a bundling issue - why not begin to bill patients for the balance after notifying both them and their insurance carrier what you are planning to do. this is going on long enuff - if combined surgery is indicated, then propose it. if payment cannot be assured do NOT perform any component. involve the patient in this issue - have the patient notify the employer who pays good money for this sham of coverage. just my opinion ... i could be wrong. art At Fri, 27 Jun 2003, D. Ashley Hill, MD wrote: > >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 > -- art fougner, md ich bin ein New Yorker Next message: RModugno@aol.com: "Re: GEN: Billing/Insurance" Previous message: zygote@icsi.net: "Re: Legal question" In reply to: D. Ashley Hill, MD: "Re: GEN: Billing/Insurance" Next in thread: RModugno@aol.com: "Re: GEN: Billing/Insurance"

Return to

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.