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Re: Blues paying 'second procedure' for Postpartum t/l From: art fougner, md (evsono@pipeline.com) Sun Mar 17 18:04:26 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby: "Re: cystoscopy after hyst" Previous message: ainsron@msn.com: "Re: Blues paying 'second procedure' for Postpartum t/l" In reply to: ainsron@msn.com: "Re: Blues paying 'second procedure' for Postpartum t/l" Next in thread: Braun, R. Daniel: "Re: cystoscopy after hyst" where's John Stossel when you need him? art At Sun, 17 Mar 2002, ainsron@msn.com wrote: > >Yeah, it stinks, but I would do them only the following day if that is >their game. Our peds have a similar problem with circumcisions on >Medi-cal patients. Even though Medi-cal does not cover circs, if it is >done in the hospital, the carrier denies payment for that day of >hospital care, as well as the procedure! Therefore the peds will only do >them in their office. > >>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 >> >-- >Ronald E. Ainsworth, MD > -- art fougner, md ich bin ein New Yorker Next message: Gail Waldby: "Re: cystoscopy after hyst" Previous message: ainsron@msn.com: "Re: Blues paying 'second procedure' for Postpartum t/l" In reply to: ainsron@msn.com: "Re: Blues paying 'second procedure' for Postpartum t/l" Next in thread: Braun, R. Daniel: "Re: cystoscopy after hyst"

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