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Re: Cesarean on Demand From: Garry E. Siegel, M.D. (garrys@mindspring.com) Thu Dec 29 19:07:31 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Piercing" Previous message: Garry E. Siegel, M.D.: "Re: Postmenopausal bleeding" I would simply do it, document it, bill it, and if Medicaid doesn't pay (just like they won't for cosmetic surgery), bill the patient. You also could tell the patient it is not covered, and have them pay up front. If they still demand it and won't pay, simply tell them you choose not to do it. However, that will create ill-will and could be a slippery slope. It may be simplest to acquiese, as these will be infrequent. You also could come up with a "maternal anxiety" type of diagnosis, and have a preoperative second opinion. If you did that, and sent it all to Medicaid, I bet it would eventually be paid, but what a pain. Garry At Thu, 29 Dec 2005, Lynn D. Montgomery, M.D. wrote: > >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 > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Re: Piercing" Previous message: Garry E. Siegel, M.D.: "Re: Postmenopausal bleeding"

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