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Re: Public Aid From: Anna Meenan, MD (annam@uic.edu) Sat Sep 13 14:19:26 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ginny lee, CNM: "Re: Post Partum IUD insertion" Previous message: Anna Meenan, MD: "Re: Public Aid" In reply to: Gail Waldby: "Re: Public Aid" Next in thread: DoctorJoe@aol.com: "Re: Public Aid" Yeah, I remember those days. It was like $400+ GLOBAL fee. The military was paying more for toilet seats than the state was paying for healthy babies. IPA delivery fee was even higher a few years ago. They've been decreasing it. Apparently so have the private insurers. -- Anna Meenan, MD At Sat, 13 Sep 2003, Gail Waldby wrote: > >Anna, when I practiced in Illinois (1988-1993), Illinois Public Aid >increased their reimbursement for deliveries way out of line with their >other payments because so many counties, esp in far south Illinois, >didn't have anyone delivering babies. So, I suspect, Illinois Public >Aid reimbursement for deliveries is much higher proportionally, still >than their other reimbursement, so regular insurance may be underpaying >you but not nearly as much as you would think from the Public aid >reimbursement for delivery. > >We were getting around 50 dollars for a surgical assist, even of 6+ >hours and $12 for an office visit. >Gail Waldby,MD >Huron Clinic SD > >Anna Meenan, MD wrote: > >>Got a new fee schedule from Cigna the other day. I usually don't pay a >>whole lot of attention to those things because I'm on salary from the U, >>but I noticed an entry for Vag. delivery and it seemed low. I checked >>with our coder/biller and asked her about reimbursement from various >>sources. Turns out, Cigna pays me $31.52 LESS than Illinois Public Aid >>does for a vaginal delivery (59409). I did a little more investigating >>and found that the local hospital's PPO plan pays $4.12 LESS, One Health >>pays $67 LESS, and HMO Illinois pays a whopping $187.59 LESS than >>Illinois Public Aid does for a veginal delivery only. In fact, my coder >>and I searched for an insurance company that pays us MORE than IPA does >>and were unable to. Are we suckers or what? >> >> Anna Meenan, MD (out recruiting more public aid pts) >> Next message: ginny lee, CNM: "Re: Post Partum IUD insertion" Previous message: Anna Meenan, MD: "Re: Public Aid" In reply to: Gail Waldby: "Re: Public Aid" Next in thread: DoctorJoe@aol.com: "Re: Public Aid"

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