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Re: Surgical AssistantsFrom: dahmd@gate.netThu Jun 13 19:46:05 1996
In article Shelley Breene <ssb@usa.net> writes:
>I am currently in transit and was wondering if anyone on the list could tell Shelley: I believe ACOGs opinion is that it is up to the primary surgeon. We have recently struggled with third-party payers refusing to pay for an assistant, even in difficult cases. Plus, we have had an HMO refuse to pay for a perineorrhapy (in conjunction with a vag hyst, anterior/posterior repair, etc) because they consider it "plastic and cosmetic surgery!" I recently did a Lash core vag hyst (500 gram uterus), ant/post repair, Raz, and sacrospinous suspension, and was told "sorry, we're not paying the assist fee because assistants are not necessary for vaginal hysterectomies." This was a tough case, and we wrote a terse letter asking them to provide documentation that ob/gyns are routinely doing such cases without assistants. They could not, and paid. When will it end?! good luck Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL
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