Re: OB: Coding

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed Oct 27 21:39:13 2004


It is now 28 hours since she left, and no return call from messages left. It is understandable that their home messages aren't a priority right now. I don't know if the CNM calling tried a cell number, if there was one.

If she shows up at either of the 2 hospitals at which we practice, and identifies us as her group (never know--might ask for new providers), of course we'll care for her. My letter of dismissal, sent tonight by mail/certified mail/email says so. I would have done it on the phone, but, alas, no answer or callback.

I will not bill her/code her out for several days. If, after that, she falls under our care such that the billing needs to be altered, we'll amend and re-submit.

I wish her well, and I bet all will be well.

My discussion and points raised here and off list (for privacy) are mainly the day-to-day, business/liablity ones. They could be misinterpreted in many ways by others, and thus I've limited my public comments and not posted others' comments to the list.

Garry

PS--we're all kind of dying to know what happened--office people, CNMs, L and D, etc.

At Wed, 27 Oct 2004, Cheri Van Hoover wrote: >
>Garry E. Siegel, M.D. wrote:
>>
>> Global--doesn't apply here, as delivery wasn't done. The lump of
>> prenatal visits are covered by 59425, 4 to 6 visits, or 59426, 7 or
>> more.
>>
>Do you know if she's delivered? Are you sure your relationship with her
>is terminated? Any chance she'll show up again after 5 days of ruptured
>membranes at home with arrest of labor wanting your care?
>
>Just asking, since it could still become global if she returns to your
>care and you choose to continue to render services to her.
>
>--
>Cheri Van Hoover, CNM, MS
>Faculty, Midwifery Institute at Philadelphia University
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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