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Re: OB: Billing when the MD doesn't make it--long From: ainsron@msn.com Wed May 24 20:22:14 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "new case" Previous message: ainsron@msn.com: "Re: R: Office urodynamics system - help please" In reply to: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long" Next in thread: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long" Reply: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long" It isn't always straightforward and isn't always fair. I had a patient who delivered a couple of weekends ago when i wasn't on call. The covering Ob was tied up in the OR and she had a precipitous delivery, the L&D nurse panicked, for no reason, the baby was doing fine, but she was worried about catching a baby. One of the CNMs I back up was called, but didn't arrive in time and the ER doc showed up to catch the baby. He stumbled through it with the coaching of the L&D nurses. The CNM delivered the placenta and I took care of her during the postpartum course, beginning the following morning. So we are stuck with billing antepartum care by visit, the ER doc billed for the delivery, although even the patient realized he was pretty much good for nothing, the CNM billed for delivery of the placenta and we will bill for postpartum care. The only one who makes out is the insurance company, who won't be billed for global care. >Good question - the one accepting responsibility should charge for the >delivery - it seems reasonble and fair to me - of course so many things >are unafair!!.. >At Sun, 21 May 2000, Paul Prior MD wrote: >> >>On Sun, 21 May 2000 09:41:02 -0500, jth@springnet1.com (Dean Huffman) >>wrote: >> >>>If I do not make it to the delivery, I do not bill for the delivery, >>>although I bill for prenatal care. >>> >>>My billing person tells me that for medicaid and medicare (yes, there >>>are a few pregnant medicare patients), it is FRAUD to bill for a >>>delivery not attended. >> >>So who takes responsibility for the delivery in this case? >> >>Part of what we bill for is that responsibility. I'll damn well bill >>for it if I'm held responsible for it. >> >>-- >>Paul Prior MD Get rebates on online purchases - up to 25% cash back. >>Ashland, KY USA Including Disney,Borders,DVDexpress,800.com,Dell, petstore >>Using Spamkiller iBaby, etoys, JCrew,800-flowers,PlanetRX,Avon & many more. >>so spam away... try: http://www.ebates.com/index.jhtml?referrer=pprior >> >-- >"The things you learn after you know everything are the important ones" > -- Ronald E. Ainsworth, MD Next message: Betsy Hyde: "new case" Previous message: ainsron@msn.com: "Re: R: Office urodynamics system - help please" In reply to: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long" Next in thread: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long" Reply: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long"

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