Re: Office Surgery Protocols
From: l.glazerman@rcn.com
Sun May 27 10:33:36 2007
The certification depends on the state. At least in PA, to do office surgery, you don't need to be certified as an ASF. In fact, with the reimbursement structure for Esssure and ablation, you'll do better coding the place of service as office than you will coding it as ambulatory surgical facility.
I've lectured extensively on this, so anyone feel free to email me off-list if you'd like to discuss more.
Larry Glazerman
>---- Original message ----
>Date: Sun, 27 May 2007 10:19:11 -0500
>From: Joe <forcep@intercom.net>
>Subject: Re: Office Surgery Protocols
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>
>Certainly depends on level of surgery. I had a surgicenter in my office
>and did over 2000 tubals under anesthesia and was Accredited by AAAHC
>and was a surveyor for them. I hope we don't get to point of having to
>accredit ourselves for minor procedures. But that ugly possibility will
>arise as soon as payors decide we are doing too many. The thin ice is
>sedation preop and how far you are willing to take it , ie dentist with
>nitrous. ACOG has no guidelines. Many states now do. I did a d&c in my
>office in 1976 and was censured by my county medical society. Cheers. Joe C
>
>Andrew Folley wrote:
>> Anyone know of any guidelines from ACOG or anyone else on office gyn
>> surgery protocols????
>> Specifically for essure and novasure, hysteroscopy etc. anyone ever
>> heard of having to be accredited for office gyn surgery???
>>
>>> From: Henry Gregor <henrygregor@yahoo.com>
>>> Reply-To: ob-gyn-l@obgyn.net
>>> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>> Subject: RE: Delivery suggestions
>>> Date: Sat, 26 May 2007 21:33:43 -0500
>>>
>>> I'd rather the lowering by rope, than by whatever alternative might
>>> work for repairing a sulcal tear, or labial tear welling up with
>>> venous oozing.
>>>
>>> H
>>>
>>> Andrew Folley <agfolley@hotmail.com> wrote:
>>> Vaginal delivery. What is the question especially in light of 399#???
>>> Otherwise you will have to lower one of your residients on a rope into
>>> the
>>> c-section incision to retrieve the babies.
>>>
>>> >From: "Lynn Montgomery"
>>> >Reply-To: ob-gyn-l@obgyn.net
>>> >To: Multiple recipients of list OB-GYN-L
>>> >Subject: Delivery suggestions
>>> >Date: Wed, 23 May 2007 17:42:48 -0500
>>> >
>>> >I have a good one for y'all to ponder. 23 y.o. primigravida, currently
>>> >at 34 weeks gestational age with twins. Currently weighs 399. EFW at
>>> >31 weeks on both twins was 5 pounds. Cephalic/cephalic presentation.
>>> >During a visit to L&D for false labor, monitoring was essentially
>>> >impossible.
>>> >
>>> >Route of delivery?
>>> >
>>> >Lynn
>>> >
>>> >Lynn D. Montgomery, M.D.
>>> >
>>> >Obstetrics & Gynecology, Maternal-Fetal Medicine
>>> >
>>> >The Birth Center/Rocky Mountain Women's Health
>>> >
>>> >1211 S. Reserve St.
>>> >
>>> >Missoula, Montana, 59801
>>> >
>>> >406-549-0978
>>> >
>>> >fax 406-549-0987
>>> >
>>> >e-mail: apgar10@thebirthcentermt.com
>>> >
>>>
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>>
>> _________________________________________________________________
>> PC Magazine’s 2007 editors’ choice for best Web mail—award-winning
>> _________________________________________________________________
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>>
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