Re: Novasure and Reimbursement

From: ainsron (ainsron@sbcglobal.net)
Tue Nov 22 12:09:46 2005


I've been using NovaSure for about a year, prior to that I used the Rollerball technique. NovaSure is much easier to use and I feel works equivalently. However, I am not set up for office hysteroscopy and do them all in the OR. The convenient thing is no need for endometrial prep with a GnRH agonist and it can be done anytime in the cycle. Your question about reimbursement prompted me to look at the last years procedures and I was shocked to see the range in reimbursement. The lowest, of course was Medicare - $363.34, Medi-Cal was $400.29, Blue Cross paid $558, Blue Shield paid $386 (Less than Medi-Cal, if you can believe that). One commercial insurance actually paid $2547.44.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Geffrey Klein Sent: Tuesday, November 22, 2005 10:10 AM To: Multiple recipients of list OB-GYN-L Subject: Novasure and Reimbursement

I have been doing ablations for about 2-3 years now. I had been using the thermachoice, but I tried the novasure and I am very impressed. It is easy to use and the post-treatment hysteroscopy is very impressive in its results.

I have a question for the group. Who is doing novasure? How do you like it? Do you do it in the office? If you perform these in the office, what special precautions do you take? Do you notice a significant change in reimbursement depending on where you perform the procedure?

Thanks for your input..

--
Geff Klein, MD
gyndok@yahoo.com




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