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Re: Cesarean on Demand From: Anna Meenan, MD (annam@uic.edu) Thu Dec 29 17:59:51 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Happened this week" Previous message: RModugno@aol.com: "Re: Piercing" Next in thread: Dr Eberhard Lisse: "Re: Cesarean on Demand" Reply: Dr Eberhard Lisse: "Re: Cesarean on Demand" I'm guessing you would be under no more obligation to do an elective C-sec than you would be to do elective plastic surgery that the state declined to pay for. -- Anna Meenan, MD At Thu, 29 Dec 2005, Lynn D. Montgomery, M.D. wrote: > >I have an interesting dilemma for y'all. From my understanding, when >confronted by a patient requesting a "cesarean on demand", one has the >option of either abiding by their wishes or "firing" them as a patient and >informing them to find another provider who will comply with their wishes, >knowing that I am responsible for 30 days - which in obstetrics, if they are >near term or in labor, keeps one on the hook. > >Because I have many Medicaid patients, we inquired of the state what their >stand is on payment for "cesarean on demand". Their response was that they >will only pay for "medically indicated" procedures and if there is not a >"valid" reason for a procedure, such as a cesarean section, they will not >reimburse. > >So, if a Medicaid patient requests a "cesarean on demand" and I respond by >saying that I can't/won't because I will not get paid, how does this sit >legally??? >Lynn > >-- >Lynn D. Montgomery, M.D. >Maternal-Fetal Medicine, OB/GYN >Rocky Mountain Women's Health >2835 Fort Missoula Rd., Suite 304 >Missoula, Montana, 59804 >406-549-0978 >fax 406-549-0987 >e-mail: apgar10@montanadsl.net > Next message: RModugno@aol.com: "Re: Happened this week" Previous message: RModugno@aol.com: "Re: Piercing" Next in thread: Dr Eberhard Lisse: "Re: Cesarean on Demand" Reply: Dr Eberhard Lisse: "Re: Cesarean on Demand"

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