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

From: art fougner, md (evsono@pipeline.com)
Sun Mar 17 08:37:53 2002


Kevin -

that's what i tried to tell the mechanic - that the hood was already open - he laughed and asked for his money - the surgery still takes time, requires expertise, and entails risk of complication. therefore, you are entitled to appropriate reimbursement.

art

At Sun, 17 Mar 2002, Kevin Dew wrote: >
>Garry,
>The edict from the blues is new and I haven't had a blues patient needing a
>pp t/l yet. You can, however, bet your sweet bippy that I will do them at
>another time than the calendar date of delivery until the problem is
>resolved. This is not much of a problem for me as I usually have to
>schedule them on the day after delivery or the day of discharge as I am a
>solo practitioner with a fairly tight office/OR schedule. I can see how it
>would have more impact on those practices which had one of the docs doing
>the "in-house" stuff only meaning that they usually would do the t/l on the
>day of delivery.
>
>I am going to encourage the other docs in the department to write the
>insurance commissioner.
>
>Art,
>the reduction in fee, as I understand it applies to c-sections as well, and
>I can see it as being a "second" procedure since the peritoneal cavity is
>already open.
>Thanks
>
>Kevin

--
art fougner, md
ich bin ein New Yorker




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L 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.