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Re: cesarean on demand From: Anna Meenan, MD (annam@uic.edu) Fri Dec 30 18:14:09 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: OB-GYN-L digest 4443" Previous message: Anna Meenan, MD: "Re: cesarean on demand" In reply to: Andrew Folley: "Re: cesarean on demand" Next in thread: D. Ashley Hill: "Re: cesarean on demand" Reply: D. Ashley Hill: "Re: cesarean on demand" Reply: Joanne Bulley, MD: "Re: cesarean on demand" But he would have to provide a procedure code for either a c-section or a vaginal delivery. If he provided a code for a vaginal delivery that was not done, that would be fraud. If he provided a code for a c-section, theoretically he would have to code a diagnosis which would explain the c-section. If he made up a diagnosis, that would be fraud. We should not have to commit fraud to get paid for what we do. It's bad enough that what we get paid for 8 months of around-the-clock medical care, including 12-14 office visits, and several hours on L&D performing one of the highest-risk procedures there is, merits about the same amount of money that my auto insurance is going to pay the guy that spends a day and a half fixing the minor dent in the passenger-side rear fender of my car (which someone so obligingly left there during the Christmas shopping season when I wasn't around). Maybe I should look into a career in a body shop. I was pretty good at it when my husband and I restored his old '68 Chevelle. -- Anna Meenan, MD At Fri, 30 Dec 2005, Andrew Folley wrote: > >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 >> Next message: Anna Meenan, MD: "Re: OB-GYN-L digest 4443" Previous message: Anna Meenan, MD: "Re: cesarean on demand" In reply to: Andrew Folley: "Re: cesarean on demand" Next in thread: D. Ashley Hill: "Re: cesarean on demand" Reply: D. Ashley Hill: "Re: cesarean on demand" Reply: Joanne Bulley, MD: "Re: cesarean on demand"

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