Re: cesarean on demand

From: Joanne Bulley, MD (islesannie@yahoo.com)
Fri Dec 30 21:28:48 2005


This hearkens back to one delivery many, many moons ago.

A repeat C/S. Her husband is an injury lawyer ...

During one of her PN visits, she says to my partner ... "Isn't it interesting, my husband gets more for getting a drunk driver off his second offense than you get for my prenatal care, cesarean operation and follow up care"

And yes, it is a sorry state of affairs!

My attorney fees alone (1992/92) for my divorce (took 8-9 months) were just a little bit less than the 3 years of med school tuition (78-81). (MCOT was a 3 years school).

But I would be very unhappy being a lawyer - so this is what we live with!

Happy New Year. Joanne

At Fri, 30 Dec 2005, Anna Meenan, MD wrote: >
>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

--
Joanne Bulley, MD
Keene, NH, USA

"Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974).





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