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Re: Novasure ReimbursementFrom: Henry Gregor (henrygregor@yahoo.com)Fri Jan 18 09:16:31 2008
Thanks Robert. Can I ask for which procedure Medicaid came on board? As of a couple of weeks ago, I couldn't get it to cover Essure, and I wonder if that was the change you referred to? Hank rmodugno@aol.com wrote: My partners do thermachoice and Essure in the office - using combinations of toradol, paracevical block and valium. reimbursement does not seem to be a problem - Medicaid recently came on board. I am in the process of 'transitioning" from the OR with thermachoice. Robert Modugno MD MBA FACOG sylva, NC -----Original Message----- From: Henry Gregor To: islesannie@gmail.com Cc: Robert Modugno Sent: Wed, 16 Jan 2008 15:36:30 -0800 (PST) Subject: Novasure Reimbursement Joanne, Saw your post to Glen, and your comments re Novaure and reimbursement hassles....I have done Thermochoice and Novasure, before that resectoscope and - OMG, I am getting so old! - even YAG ablations years ago. I guess only one I haven't done is cryoablation. (About which - at least as far as office use goes - I have been told some pretty negative things.) I think both Novasure and Thermochoice are reasonable in selected patients, ie, as you describe them. I almost went for the office deal with Novasure except for concerns re how reimbursement would play out....so, I was keenly interested in your comments. Does "fight like hell" for remimbursements still occur, or has stabilized to something you can count on in advance now with your payers? I did note Larry Glazerman (I believe) stated office payment was 2-3x better than OR....I have had good results with OR procedures, but Lord, the down time trying to get a case in and out of the OP surgery process is a killer...tough to call it a moneymaker once the lost office time is factored in. OTOH, my ofc mgr and I are a bit leery re office payment procedures. Unfortunately, it doesn't seem any local docs are doing these in office...though I haven't checked with Robert (Modugno) yet,come to think of it, who is close by.....Robert...now you know why you were cc'd. Have you done these in the office here, or in Georgia? Hank Looking for last minute shopping deals? Find them fast with Yahoo! Search.
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