Re: cesarean on demand

From: Andrew Folley (agfolley@hotmail.com)
Fri Dec 30 10:22:55 2005


Can you do the c-section and simply charge medicare for a "delivery fee" and accept that?

>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: Fri, 30 Dec 2005 10:42:38 -0600
>
>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
>





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