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Re: Cesarean on Demand From: Dr Eberhard Lisse (el@lisse.NA) Thu Dec 29 21:49:33 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: Not really Kick Counts" Previous message: Henry Gregor: "Re: Gyn: Postmenopausal Bleeding, part 2" In reply to: Anna Meenan, MD: "Re: Cesarean on Demand" If you really try hard neough, you will find an indication. 30% of all deliveries in the US are C/S anyway. And if you really can't find an indication, I would give the patient a copy of the letter from Medicaid totgether with the bill. el Anna Meenan, MD wrote: > 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 Next message: Dr Eberhard Lisse: "Re: Not really Kick Counts" Previous message: Henry Gregor: "Re: Gyn: Postmenopausal Bleeding, part 2" In reply to: Anna Meenan, MD: "Re: Cesarean on Demand"

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