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Re: Blues paying 'second procedure' for Postpartum t/l From: art fougner, md (evsono@pipeline.com) Sat Mar 16 10:19:02 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry Siegel: "Re: Blues paying 'second procedure' for Postpartum t/l" Previous message: art fougner, md: "Re: Blues paying 'second procedure' for Postpartum t/l" In reply to: Joanne Bulley, MD: "Re: Blues paying 'second procedure' for Postpartum t/l" Next in thread: Garry Siegel: "Re: Blues paying 'second procedure' for Postpartum t/l" Reply: Garry Siegel: "Re: Blues paying 'second procedure' for Postpartum t/l" ok so i brought my car to the shop for a tune up, an oil change and brake pads. i paid for the tune up and then said well, the others are incidental procedures - i should pay less. the mechanic laughed and then asked for his money. we are schmucks. art At Sat, 16 Mar 2002, Joanne Bulley, MD wrote: > >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 ~*~ > -- art fougner, md ich bin ein New Yorker Next message: Garry Siegel: "Re: Blues paying 'second procedure' for Postpartum t/l" Previous message: art fougner, md: "Re: Blues paying 'second procedure' for Postpartum t/l" In reply to: Joanne Bulley, MD: "Re: Blues paying 'second procedure' for Postpartum t/l" Next in thread: Garry Siegel: "Re: Blues paying 'second procedure' for Postpartum t/l" Reply: Garry Siegel: "Re: Blues paying 'second procedure' for Postpartum t/l"

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