-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Blues paying 'second procedure' for Postpartum t/l From: art fougner, md (evsono@pipeline.com) Fri Mar 15 19:09:06 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Blues paying 'second procedure' for Postpartum t/l" Previous message: Zach Newton: "Re: Blues paying "second procedure" for Postpartum t/l" In reply to: Gordon: "Re: Blues paying "second procedure" for Postpartum t/l" Next in thread: Joanne Bulley, MD: "Union - was Blues paying" Reply: Joanne Bulley, MD: "Union - was Blues paying" time for the broken record refrain - "look for the union label ..." art At Fri, 15 Mar 2002, Gordon wrote: > >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 >> -- art fougner, md ich bin ein New Yorker Next message: art fougner, md: "Re: Blues paying 'second procedure' for Postpartum t/l" Previous message: Zach Newton: "Re: Blues paying "second procedure" for Postpartum t/l" In reply to: Gordon: "Re: Blues paying "second procedure" for Postpartum t/l" Next in thread: Joanne Bulley, MD: "Union - was Blues paying" Reply: Joanne Bulley, MD: "Union - was Blues paying"

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: Mon Nov 2 04:51:09 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.