Re: Postmenopausal Bleeding

From: art fougner, md (evsono@pipeline.com)
Mon Sep 25 12:43:55 2000


this is what is totally wrong with all the coding crapola. what is needed is an evaluation of the pelvis - the views should be obtained sufficient to arrive at a conclusion by the optimal route. all these codes, modifiers, etc confuse the issue. Dan - what's wrong with only ordering one route is that if the pathology can only be demonstrated by the alternate view - the one you did not order - you've accomplished little and are encouraging only an unnecessary return trip at best or a missed diagnosis at worse. recent events on the list underscore the fact that the current system is critically flawed.

art

At Mon, 25 Sep 2000, Braun, R. Daniel wrote: >
>Only order one, then they are committing fraud if they do both.
>Dan
>
>R. Daniel Braun, MD FACOG
>Clinical Professor
>Department of Obstetrics and Gynecology
>Indiana U. School of Medicine
>Indianapolis, IN 46202
>
>OBGYN.net
>International Representative for United States
>
>Certified AllExperts Expert
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>-----Original Message-----
>From: islesannie@yahoo.com [mailto:islesannie@yahoo.com]
>Sent: Saturday, September 23, 2000 11:23 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Postmenopausal Bleeding
>
>Actually - the way the reports come back - they report it as 2
>procedures - I suspect they bill for the TA & TV separately. Another
>one of the unfair way things bounce around.
>
>Joanne
>
>At Sat, 23 Sep 2000, Larry Glazerman wrote:
>>
>>Dan:
>>
>>The radiologists in my area still insist on doing transabdominal US with TV
>>- they will not to TV alone. For those patients whose insurance won't let
>>me do the ultrasound, that's what we have to put up with. They do a TA scan
>>then empty the bladder for the TV scan
>>
>--
>Joanne Bulley, MD, FACOG
>Keene, NH, USA
>
>All decisions are made with insufficient data.
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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