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Re: splitting Ob package c FPs From: Anna Meenan, MD (annam@uic.edu) Thu Dec 4 13:43:46 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Terrence.Jones@ncal.kaiperm.org: "bloqueo A-V congenito" Previous message: Ricardo Savaris: "REI: RPL and Prolactin, new facts" In reply to: Ed Miller, M.D.: "splitting Ob package c FPs" Next in thread: rbraun@iupui.edu: "Re: splitting Ob package c FPs" Reply: rbraun@iupui.edu: "Re: splitting Ob package c FPs" At Wed, 3 Dec 1997, Ed Miller, M.D. wrote: > >How do others in multispecialty groups split the Ob package fee when an >Ob manages L/D for an FP who is out of town. > >How about when the FP manages labor but needs the Ob for a midforceps, >or cesarean? > >Can FPs charge "prolonged care" for their time in labor, if the Ob ends >up doing the delivery? > >-- >Edward D. Miller, M.D. > Speaking as an FP, I would say that when the OB does the delivery for anyone else in the group, either FP or OB, s/he would charge a delivery only fee and the one who did prenatal care would charge for prenatal visits only. That one is easy. The situation where the OB does a mid-forceps or c-section after the FP has managed a high-risk labor for hours and hours has always bugged me. If it ends up being a fairly simple forceps pull, our guys will sometimes charge only a consult. I do charge a prolonged services fee if I have been hanging around all night, but I have found that it doesn't always get paid. I document every minute I spend with the patient and sometimes I get paid. If you have been running pitocin (which is usually the reason I have been hanging around all night, there is a code for IV infusion of a med that requires the presence of a physician (90780 and 90781, I think)---can be used in addition to prolonged services codes. I also charge for admit H&P separately when I don't deliver the baby. Personally I think the whole OB charge situation should be revamped totally, and the concept of the "OB package" should be eliminated. What does everyone else think? Next message: Terrence.Jones@ncal.kaiperm.org: "bloqueo A-V congenito" Previous message: Ricardo Savaris: "REI: RPL and Prolactin, new facts" In reply to: Ed Miller, M.D.: "splitting Ob package c FPs" Next in thread: rbraun@iupui.edu: "Re: splitting Ob package c FPs" Reply: rbraun@iupui.edu: "Re: splitting Ob package c FPs"

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