Re: Blues paying "second procedure" for Postpartum t/l

From: Joe Cutchin (forcep@intercom.net)
Fri Mar 15 19:15:19 2002


Kevin Dew wrote: >
> 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

Ask them this. If I do a tubal and get payed less than "full rate" does this mean that I will be sued for a lesser amount if it fails?Bring the patient back at 6 to 8 weeks and do a lap tubal if thats what they demand.Failure rate is less too. Joseph H. Cutchin MD FACOG 4105463125 314 West Carroll Street 4105463128 Fax Salisbury,Maryland 21801

http://www.penobgyn.com





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