|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: For those of you who cover family docs doing ob...From: Anna Meenan, MD (annam@uic.edu)Mon Apr 3 13:43:45 2000
At Fri, 31 Mar 2000, Paul Prior MD wrote: > >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 am surprised there are no responses to these questions. Thought the OB's would jump all over this. As an FP, I can tell you how this works where I am. 1.The guys we consult are on call anyway for their own patients, so there is no extra work involved unless we call them. Therefore, no extra reimbursement for just being on call. We send the referrals, consults, and procedures their way whenever possible (colpos, tubals, etc.) so it works out well for them. When they come in, it is usually to do a quick c-section or forceps delivery on a fully-diagnosed and prepared patient, so they are not unhappy about it. 2. When they don't end up doing the actual delivery, it is a consult and is billed at the approppriate level as a consult. I don't see a problem there at all. When they do end up doing the delivery, they bill for it and, you're right, the FP gets to bill for the prenatal care, which is a real pain because the FP has usually by that time spent SEVERAL hours with the patient, often sitting a pit drip or nervously watching a borderline fetal monitor strip, and gets little or NO reimbursement for it. There are codes you can use to bill for some of this "prolonged attendance", but most payors (notably public aid) don't reimburse. One of the biggest rip-offs in family practice, if you ask me. 3&4. Which patients I can manage myself is always left up to me. In fact, the guys here seem to push some of the really highrisk patients back toward me even when I've specifically asked that they take over care. They never charge for phone advice and don't seem to begrudge me their time either, so that part works out well.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 04:46:17 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.