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Re: cesarean on demand From: Garry E. Siegel, M.D. (garrys@mindspring.com) Fri Dec 30 09:49:07 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: cesarean on demand" Previous message: Lynn D. Montgomery, M.D.: "cesarean on demand" Next in thread: Anna Meenan, MD: "Re: cesarean on demand" Reply: Anna Meenan, MD: "Re: cesarean on demand" Lynn: Of course, you can't balance bill for Medicaid. If a Medicaid patient goes for a breast augmentation, I have to think it is OK for the surgeon to bill her/have her pay up front, as that is non-covered. Why would this be different? That said, the simplest thing (and maybe best from a global picture including liability, ease, and keeping the patient happy) is to do it. Whether you want to try to argue about "maternal anxiety," get a second opinion, etc. is another story. Garry At Fri, 30 Dec 2005, Lynn D. Montgomery, M.D. wrote: > >Thank you for all the responses, but there is a major point being missed. >In Montana, as a Medicaid participant, I am not allowed to balance bill >anything. Reimbursement for pregnancy is global, therefore given they will >not pay for an unindicated procedure, they will pay for a standard prenatal >care, delivery and postpartum care. If the patient comes in within 30 days >of her delivery date - particularly when she comes in in labor, I have to >take care of her and cannot dismiss her. > >As such, I am stuck doing a cesarean and not getting paid for it. >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 > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Dr Eberhard Lisse: "Re: cesarean on demand" Previous message: Lynn D. Montgomery, M.D.: "cesarean on demand" Next in thread: Anna Meenan, MD: "Re: cesarean on demand" Reply: Anna Meenan, MD: "Re: cesarean on demand"

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