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Re: post-Essure HSGs From: Joanne Bulley, MD (islesannie@gmail.com) Sat Jan 31 16:42:05 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: post-Essure HSGs" Previous message: Hugo D Ribot Jr: "post-Essure HSGs" In reply to: Hugo D Ribot Jr: "post-Essure HSGs" So far I have not had a a patient call and complain that it had not been covered. Make sure your radiologist are coding it for confirmation of tubal occlusion and not for infertility -- they should be using a different code. Check with your Essure Rep for the codes ... or read the CPT /and ICD 9 stuff. Your radiologists biller may not have a clue that they are billing it wrong - and call your MD Rep at the insurance company. I know that is a realy PITA as you have to go through the friggin' automated phone tree for many minutes til you might have the luck of talking to a REAL person who is supposed to be your rep. Joanne At Sat, 31 Jan 2009, Hugo D Ribot Jr wrote: > >Hey listers, > >Is anyone having as hard a time as we are in getting reimbursement for >post-Essure HSGs? > >Our state Medicaid managed care organizations don't seem to cover it, >even though it's part of the FDA approval for the Essure. > >We keep running into the issue that they and commercial insurers, >especially, think HSG is done for infertility reasons and we keep >getting denials. > >Anyone (especially in Georgia) have any good suggestions? > >-- >Hugo D. Ribot Jr., M.D., FACOG >Cartersville, Georgia >Private practice since 1990 >2 MDs/3 CNMs > -- Joanne Bulley, MD solo gyn Keene, NH Next message: Charlie Chambers: "Re: post-Essure HSGs" Previous message: Hugo D Ribot Jr: "post-Essure HSGs" In reply to: Hugo D Ribot Jr: "post-Essure HSGs"

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