Re: Level three sonogram

From: Allen Worrall (jworrall@alaska.net)
Tue Jul 16 13:15:15 2002


Vivienne - I think there is an element of charging what the traffic will bear. Also, there is often a big difference between what we charge and what we collect. The third party payers will only pay what they want to pay.

I sometimes think the insurance industry does not pay much attention to prenatal ultrasound, because it is a drop in the bucket compared to many of the medical procedures they have to pay for.

I have no way of knowing how the charges differ from one place to another. I am in a position to know that the quality of the exam, and the quality of the reports, varies tremendously from one place to another.

I suspect there is little correlation between the charge and the quality.

Allen

Joseph A Worrall MD RDMS The Fairbanks Clinic 1919 Lathrop Street, Suite 100 Fairbanks, AK 99701 jworrall@alaska.net http://www.obgynsono.com

> ----- Original Message -----
From: viv souter To: Multiple recipients of list ULTRASOUND Sent: Tuesday, July 16, 2002 6:54 AM Subject: RE: Level three sonogram

Hi

I am a bit confused about charging for ultrasound exams in the USA; some centers charge large amounts of money for a limited exam and I have been told that this is because the scan is being performed by a "more highly trained person" (an ob/gyn with subspecialty training rather than a radiologist) and that it is a level three scan (!!). As a lowly British doctor, I am at a loss to understand this......

Vivienne

"DuBose, Terry" <DuboseTerryJ@uams.edu> wrote:

Karen, I think "level three" is a meaningless term. Probably used by some to inflate their ego(s). There are different ideas about how the level 1 and 2 got started, and the meaning. The AIUM and CPT codes do not recognize any but complete and limited exams, no levels 1 or 2.

For an interesting take on this look for an AJR editorial by Dr. Roy Filly... for more see:

http://forums.obgyn.net/womens-health/WHF.9709/0168.html

Hope this helps.

Peace, Terry J. DuBose, M.S., RDMS Assistant Professor & Director, Diagnostic Medical Sonography Program CHRP, University of Arkansas for Medical Sciences Little Rock, Arkansas, USA 501-686-6510 http://www.io.com/~dubose/ http://www.uams.edu/CHRP/dmshome.htm http://www.obgyn.net/us/panel/panel.htm

-----Original Message----- From: kroersmardms@netscape.net [mailto:kroersmardms@n! etscape.net] Sent: Monday, July 15, 2002 8:29 PM To: Multiple recipients of list ULTRASOUND Subject: Level three sonogram

What's a "level three" sonogram? I've not heard this term before First Look used it on website. I thought even the "level two" moniker was going by the wayside in favor of "targeted" scan.

~Karen

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