Re: Blues paying 'second procedure' for Postpartum t/l

From: art fougner, md (evsono@pipeline.com)
Sat Mar 16 10:16:27 2002


only problem is when a section is performed - then there's a conflict of interest - to tie or not to tie - that is the question.

art

At Fri, 15 Mar 2002, Joe Cutchin wrote: >
>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

--
art fougner, md
ich bin ein New Yorker




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