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Re: Blues paying 'second procedure' for Postpartum t/l From: Joanne Bulley, MD (islesannie@yahoo.com) Sat Mar 16 06:32:56 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Protein creatinine ratio" Previous message: Braun, R. Daniel: "Re: cystoscopy after hyst" 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" My understanding of why the "second" procedure is payed at a lower rate - is because you don't have to do a separate H&P or separate F/U hospital visits or F/U office visits. All those are already paid for in conjunction with the first procedure and its "global period". Don't yell at me! I am not saying I agree with this ... Joanne At Fri, 15 Mar 2002, jkulkin-whra wrote: > >I can think of no justification for the payer to do this. No done through >the same incision, not an incidental procedure. Separate liability for >complications and failure. > >Sounds like one for the insurance commissioner or consumer advocates offcie. > >JK > >Jay M. Kulkin, MD MBA FACOG >Women's Health Resource Associates >3475 Oak Valley Road >Suite 2640 >Atlanta, Georgia 30326 >404-841-0034 >Fax: 404-841-0054 > -- Joanne Bulley, MD Keene, NH, USA ~*~ let there be peace on earth and let it begin with me ~*~ Next message: Joanne Bulley, MD: "Re: Protein creatinine ratio" Previous message: Braun, R. Daniel: "Re: cystoscopy after hyst" 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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