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Re: self referral was intragroup switchingFrom: ainsron@msn.comSun Feb 11 16:03:10 2001
It would be cost effective care if they always used good judgement. One recent patient comes to mind who had a palpable mass and I was planning to refer to a general surgeon after the mammogram and sonogram. The radiologist took it upon himself to do a core biopsy, which was nondiagnostic - and the patient subsequently had a open biopsy anyway. Extra cost, extra procedure for no benefit. I discussed this with the surgeon and he had seen this from the same group on several occaisions. I complained to the radiologist and haven't seen it again, but its only been a couple of months.
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-- Ronald E. Ainsworth, MD
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