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Re: Managed Care QuestionFrom: ATB28@aol.comMon Jun 9 06:26:23 1997
Ashley: A number of companies do provide for this; for example, Aetna US Healthcare does in our neck of the woods. They use a High-Risk CPT code (59403) to pay an increment to the provider who cares for the high-risk patient, added to the global reimbursement (e.g., if the general Ob who delivers the patient provides the care, the enhancement is his/hers; but if the additional care given to the high-risk patient is provided by someone else - perinatologist - the referring provider does not see the increment). Documentation of additional effort in the medical record is KEY. Allan T.Bombard, MD Dept Obs-Gyn Albert Einstein College of Medicine Bronx, NY
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