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Cesarean on DemandFrom: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)Thu Dec 29 15:39:44 2005
I have an interesting dilemma for y'all. From my understanding, when confronted by a patient requesting a "cesarean on demand", one has the option of either abiding by their wishes or "firing" them as a patient and informing them to find another provider who will comply with their wishes, knowing that I am responsible for 30 days - which in obstetrics, if they are near term or in labor, keeps one on the hook. Because I have many Medicaid patients, we inquired of the state what their stand is on payment for "cesarean on demand". Their response was that they will only pay for "medically indicated" procedures and if there is not a "valid" reason for a procedure, such as a cesarean section, they will not reimburse. So, if a Medicaid patient requests a "cesarean on demand" and I respond by saying that I can't/won't because I will not get paid, how does this sit legally??? Lynn
-- Lynn D. Montgomery, M.D. Maternal-Fetal Medicine, OB/GYN Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 304 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net
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