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Re: Cesarean on Demand From: Andrew Folley (agfolley@hotmail.com) Fri Dec 30 09:03:30 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Lynn D. Montgomery, M.D.: "cesarean on demand" Previous message: Andrew Folley: "Re: Postmenopausal bleeding" In reply to: Lynn D. Montgomery, M.D.: "Cesarean on Demand" Next in thread: Stmidwife@aol.com: "Re: Cesarean on Demand" Offer to do the c-section but that she will have to pay the full price up front. Other opiton is do provide coverage for the next 30 days and if she presents in labor do c-seciton for medical indications only. I do not see a medial legal issue here but I suspect there is one. andy >From: "Lynn D. Montgomery, M.D." <apgar10@montanadsl.net> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Cesarean on Demand >Date: Thu, 29 Dec 2005 16:40:06 -0600 > >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: Lynn D. Montgomery, M.D.: "cesarean on demand" Previous message: Andrew Folley: "Re: Postmenopausal bleeding" In reply to: Lynn D. Montgomery, M.D.: "Cesarean on Demand" Next in thread: Stmidwife@aol.com: "Re: Cesarean on Demand"

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