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Re: Myomectomy reimbursement From: art fougner, md (evsono@pipeline.com) Fri May 2 07:17:42 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Mark Perloe: "Re: Myomectomy reimbursement" Previous message: Rafael Haciski MD: "Re: Myomectomy reimbursement" In reply to: D. Ashley Hill, MD: "Myomectomy reimbursement" there are several ongoing federal and state suits against various MCO's for this practice of bundling and downcoding. art At Thu, 1 May 2003, D. Ashley Hill, MD wrote: > >Listmembers- > >Speaking of reasons bright students are thinking twice about pursuing a >medical degree: > >A large HMO recently refused to reimburse us for a myomectomy where we >removed a number of fibroids laparoscopically and a large, submucous >fibroid hysteroscopically. Their medical reviewers (who I have not >spoken with) claim that the hysteroscopic procedure is "incidental" to >the laparoscopic procedure, even though CPT, ACOG and common sense state >otherwise. We have not encountered this specific denial before. Has >anyone else, and were you successful in obtaining payment? Thanks in >advance. > >Ashley > >-- >D. Ashley Hill, MD >Associate Director >Department of Obstetrics and Gynecology >Florida Hospital Family Practice Residency >Orlando, Florida > -- art fougner, md ich bin ein New Yorker Next message: Mark Perloe: "Re: Myomectomy reimbursement" Previous message: Rafael Haciski MD: "Re: Myomectomy reimbursement" In reply to: D. Ashley Hill, MD: "Myomectomy reimbursement"

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