Re: Insurance (long)

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue Sep 4 09:33:36 2007


Marilyn:

If they have insurance or Medicaid, I must take full advantage of the benefits allowed.

If they don't, of course I can modify what I do.

Duh--of course I know that taking the IUD out takes one extra minute, and doesn't add to overhead (except instrument processing).

Garry

At Mon, 3 Sep 2007, Marilyn Ringstaff wrote: >
><<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
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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