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Re: SterilizationFrom: ainsron (ainsron@sbcglobal.net)Tue Mar 1 08:03:48 2005
I agree partially with what Dan is saying. In California, everyone billing for a procedure that needs a sterilization consent will have their claim denied if they don't have a copy, that includes anesthesia, assistants and the hospital. However, there are times in emergency situations where I would advise the patient against having a tubal ligation that had been previously discussed or refuse to perform it if I were concerned she would have regrets later if the baby were compromised. A tubal consent is only a consent, not a contract; I tell the patient that at the time she signs it, letting her know that she can back out of it at any point if she changes her mind. Conversely, the physician should also be able to back out of it at any time if he changes his mind for whatever reason. The patient was told that up front at the time of her cesarean section and didn't object then. If she had strongly objected at the time, I probably would have done the procedure if I knew I had a copy of the consent in the office and could retrieve it later and put it in the record. If the tubal was objectionable because of the cost, the couple should have considered vasectomy, as we counsel every other couple, it is cheaper, equally effective and less risky. Personally, I avoid the problem with missing sterilization consents by personally faxing them to the OR after I review and sign them in the office. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel Braun Sent: Tuesday, March 01, 2005 3:37 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Sterilization If it was a lack of Medicaid papers and the patient had in the hospital signed a surgical consent, then the only reason for not doing the procedure was fear of not being paid. That is after all the only reason for the Medicaid papers (If you ain't got em, you don't get paid). If the Medicaid papers had been signed and were not available at the hospital because the Doctors office staff failed in thieir duty to get them there, then there might be a valid indication for a suit. Not having the signed Medicaid papers is not a violation of federal law. Not having them AND getting paid by the Federal Government is a violation of Federal law. Although they are labelled consent forms, their only real purpose is for getting paid. Dan
On Mon, 28 Feb 2005 20:13:03 -0600, DoctorJoe@aol.com <DoctorJoe@aol.com>
wrote:
>
--
R. Daniel Braun
Kinky for Governor
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