Re: cesarean on demand

From: fran wilson (530rose@msn.com)
Fri Dec 30 16:37:08 2005


Just say NO!

Fran Wilson, CNM


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 10:42:41 -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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