Re: Cesarean on Demand

From: Jamie (ajfields@pine-net.com)
Thu Dec 29 17:45:13 2005


Does Medicaid (or other payors) accept previous sexual trauma as a legitimate reason?

At Thu, 29 Dec 2005, DoctorJoe@aol.com wrote: >
>In a message dated 12/29/05 4:40:53 PM, apgar10@montanadsl.net writes:
>
>>  
>
>y
>> saying that I can't/won't because I will not get paid, how does this sit
>> legally???
>>
>Well, it may vary from state to state, but . . .
>
>1) If there's not a medical indication for the C/S, then you're not medical y
>negligent (i.e. no malpractice).
>
>2) If there's no contract to do the C/S in the first place (not that anyone
>n
>there's no breach of contract.
>
>3) If you refuse to perform something that's not indicated, but that's mere y
>
>proper notice, etc., then it's not abandonment.
>
>So what else?
>
>u
>in a very awkward and uncomfortable position. She's almost be a law suit
>er.
>
>On the other hand, what about a patient who has a real good reason for the
>hem
>pay some sort of advance partial payment if you suspect the insurance won't
>pay. That'll slow them down. Even better, tell THEM to call the insurer and
>argue the case.
>
>Joe P.

--
JFields, RN, BSN




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