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Re: GYN: Emergency TL From: ainsron (ainsron@sbcglobal.net) Fri Jul 8 11:24:19 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "progesterone injections" Previous message: Dr. Savvas: "Ovarian cyst and adolescence" In reply to: Gerald P. Rodríguez: "Re: GYN: Emergency TL" Next in thread: Lynn D. Montgomery, M.D.: "Re: Emergency TL" You're absolutely right. We don't get paid, anesthesia doesn't get paid, the hospital doesn't get paid, etc. Nevertheless, even though financial penalties are easier to swallow than legal penalties, our hands are tied if we work outside of the system. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Gerald P. Rodríguez Sent: Friday, July 08, 2005 8:11 AM To: Multiple recipients of list OB-GYN-L Subject: [Norton AntiSpam] Re: GYN: Emergency TL Not to argue what is a slam dunk issue (I would not go there either), but the 30 day wait period for Medicaid is not law forbidding it, it's simply a regulation that unless complied with, won't get you or the hospital paid. Gerald P. Rodríguez, M.D., FACOG Santa Fe >----- Original Message ----- From: "ainsron" <ainsron@sbcglobal.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Friday, July 08, 2005 8:36 AM Subject: Re: GYN: Emergency TL > Legally and ethically it is not an option. It's not like us calling a > general surgeon in to take care of a hot appendix we find at the time of a > diagnostic laparoscopy to R/O PID. He may think it's the same, but he > needs > to be educated and know that our hands are tied by federal law. If its > not > an emergency chole and he can postpone it, you could see the patient, > counsel her, have her sign the consent then do it in 72 hours if she is a > private patient; if she is Medicaid, you have to wait at least 30 days - > at > least that is true in California. > > Ronald E. Ainsworth, MD, FACOG > > -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. > Siegel, M.D. > Sent: Friday, July 08, 2005 5:07 AM > To: Multiple recipients of list OB-GYN-L > Subject: [Norton AntiSpam] GYN: Emergency TL > > I'm awaiting an OR case, and the head nurse said that one of the general > surgeons may call me to do a Tubal Ligation on someone who is having a > Laparoscopic cholecystectomy this AM in about an hour. > > Even if it is an existing patient, it really rubs me the wrong way--no > chance to see, examine, counsel, consent or pre-certify (if needed), to > say nothing of my office schedule. > > Thoughts welcome. > > Garry > > PS--this is a preliminary rant; the details may make this request very > reasonable, I suppose. > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA > Next message: Charlie Chambers: "progesterone injections" Previous message: Dr. Savvas: "Ovarian cyst and adolescence" In reply to: Gerald P. Rodríguez: "Re: GYN: Emergency TL" Next in thread: Lynn D. Montgomery, M.D.: "Re: Emergency TL"

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