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Re: Insurance (long)From: Marilyn Ringstaff (marilyn.ringstaff@OBGYN.net)Mon Sep 3 21:18:15 2007
<<I know that the CPT rules allow various modifiers to allow two services >on one visit, but our experience is that we aren't paid uniformly, have >to appeal, get denied, etc. Maybe we are doing it incorrectly, but this >solution is pretty simple and seems to work for us. Of course, we >realize that it is NOT convenient for the patients, but my partner and I >feel we have no choice but to maximize our reimbursement given today's >climate. > Garry: We have a lot of women in Georgia struggling to meet their co-pays, (not to mention gas, daycare and time out of work to keep appointments) who bounce back and forth between private practice and public health. Please keep in mind the burden that it places on public health if the private sector doesn’t do simple procedures it could easily do in one visit. I frequently see patients who need an IUD removed, etc. and a private gyn wants to charge her some outrageous fee for it and wouldn't do it at the time of her pap. Takes me five minutes and no overhead expenses for doing so. The lights are still on, barely, in public health, but we can’t take up the slack forever. Marilyn
-- Marilyn Ringstaff, CNM, JD Rome, Georgia
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