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Re: Mammograms From: ainsron (ainsron@sbcglobal.net) Fri Jun 11 11:08:31 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Mother May Claim Emotional Damages for Harm at Birth" Previous message: Braun, R. Daniel: "Leff Forceps" In reply to: art fougner, md: "Re: Mammograms" Until yesterday, all my communications have been through the hospital coding department and the department manager for radiology - who wanted me to change my coding to allow billing for the diagnostic mammograms. I also spoke with two of our surgeons who have been frustrated by the same pressure. I finally got through yesterday to the radiologist who is over the mammography section. Fortunately, he agreed with me and the other physicians and said that screening views are all that is indicated and necessary unless new symptoms or findings warrant additional views and said he will take care of the problem. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art fougner, md Sent: Friday, June 11, 2004 4:49 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Mammograms Have you communicated your reservations with them? If so, what was their response? art At Thu, 10 Jun 2004, Dr. Ainsworth wrote: > >One of our local mammogram clinics has recently indicated that they want >me to order diagnostic mammograms on all patients who have a history of >breast cancer, not screening mammograms. My feeling is that screening >mammograms are indicated as a first step on all patients without signs >or symptoms that warrant extra views. They point to a Medicare >publication that states that a radiological mammogram is a covered >diagnostic test in patients who have a history of breast cancer. This >Medicare bulletin is from 1978, and to me, their use of this argument is >simply revenue enhancing, not based on EBM. I have no problem ordering >diagnostic mammograms when indicated, but I resist the idea of extra >views in asymptomatic women who have had breast cancer several years ago >and are clinically free of disease or suspicious areas. Is anyone else >getting or sees a good reason for getting diagnostic mammograms in this >subset of patients? -- art fougner, md ich bin ein New Yorker Next message: ainsron: "Mother May Claim Emotional Damages for Harm at Birth" Previous message: Braun, R. Daniel: "Leff Forceps" In reply to: art fougner, md: "Re: Mammograms"

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