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Re: Blues paying "second procedure" for Postpartum t/l From: Gordon (obgyndoc@swbell.net) Fri Mar 15 15:57:14 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby: "Re: cystoscopy after hyst" Previous message: Montgomery, Lynn MD: "Re: Blues paying "second procedure" for Postpartum t/l" Maybe in reply to: Kevin Dew: "Blues paying "second procedure" for Postpartum t/l" Next in thread: art fougner, md: "Re: Blues paying 'second procedure' for Postpartum t/l" Reply: art fougner, md: "Re: Blues paying 'second procedure' for Postpartum t/l" Kevin, Here is a copy of a previous post. And when patients get a belly full of that kind of crap, maybe then they will become activists in their own behalf!!! Insurance companies will not listen to you or I, but when employers get enough time away from work from valued employees who could have something done as a single procedure and patients are forced to have multiple procedures with concomitant cumulative risks, things may then change. This is already happening in our town, with postpartum tubal ligations. It is so simple to do it at C/S or even through an inframumbilical incision, with an epidural already in place. But if the payers refuse to reimburse for it, many docs make excuses to patients for not doing it then. And now, anesthesia has been refusing to redose the epidural for postpartum tubals because they don't get paid for doing it or for the extra length of time and care for the tubal surgery. -- Gordon M. Goldman, M.D., FACOG Private Practice, St. Louis, Mo. >----- Original Message ----- From: "Kevin Dew" <kdew@bellsouth.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Friday, March 15, 2002 4:41 PM Subject: Blues paying "second procedure" for Postpartum t/l > Recently the KY Blues informed we docs that if we do a Postpartum t/l on the > same calendar day as the vaginal delivery, they will pay us as if it is a > "second procedure" and not at the "full rate" > > Comments? > > Kevin D. Dew, MD > Next message: Gail Waldby: "Re: cystoscopy after hyst" Previous message: Montgomery, Lynn MD: "Re: Blues paying "second procedure" for Postpartum t/l" Maybe in reply to: Kevin Dew: "Blues paying "second procedure" for Postpartum t/l" Next in thread: art fougner, md: "Re: Blues paying 'second procedure' for Postpartum t/l" Reply: art fougner, md: "Re: Blues paying 'second procedure' for Postpartum t/l"

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