For those of you who cover family docs doing ob...

From: Paul Prior MD (pprior@earthlink.net)
Fri Mar 31 19:27:19 2000


Any comments on reimbursement issues for covering FPs doing obstetrics?

Specifically:

1) Should there be any reimbursement for coverage (i.e. being "on-call") to cover the FP group even if not called in to help? What if the other OB group is not willing to cover them and thus the coverage will not be shared equally between the OB staff? Are referrals made from the FP group to the OB office to be considered in part of this equation?

2) How is billing handled for a situation where the FP wants help, but ends up doing the delivery? If the OB takes over and does the delivery (either forceps or by c/s) then one can bill for that procedure and the FP for the prenatal care, correct?

3) Should there be any formal protocol established between the OB for establishing which patients should be managed by the OB vs. the FP service or should this be left to the judgement of the FP docs?

4) If the FP wants to manage some degree of "high risk" patients (diabetics for example) with consultation (with or without the OB actually seeing the patient) with the OB during prenatal visits how is this billed?

I appreciate any comments and input those of you on either side of this issue might provide.

--
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