Re: OB: Ultrasound Billing

From: art fougner, md (evsono@pipeline.com)
Fri Mar 5 07:24:32 1999


definite overkill. additional problems - time consuming and a risk management nightmare - the missed anomaly. "all those sonograms and this was NOT picked up!"

Art

"Of course that's just my opinion. I could be wrong." - Dennis Miller

At Fri, 5 Mar 1999, W. Brown wrote: >
>>In a message dated 3/4/99 9:35:40 PM, suzannep@mindspring.com writes:
>>
>><< One of our local docs does an ultrasound at every visit for every
>>patient.>>
>>
>>Okay, follow this argument:
>>
>>When you "see" a patient, what do you do? You actually LOOK at them. And if
>>you're in Pediatrics, you look at them, weigh them, and measure them.
>>
>>Okay, so now you have TWO patients.... Why, if you have the capability,
>>wouldn't you MEASURE the fetus, LOOK at it, WEIGH it (sort of goes hand in
>>hand with measuring it), and generally treat it as you would any patient?
>>Joe P.
>
>Interesting idea . . .
>But I think the idea of evaluating the fetus sonographically (adequately)
>at every OB visit a bit impractical, unless one sees very few patients each
>day. Also remember the variability and accurracy of ultrasound in the
>third trimester (+/- 2 to 3 weeks), which renders reliable interpretation
>of "measurements" impossible when patients are scanned at < 3-week
>intervals.
>Would appreciate hearing comments about this issue from T. Dubose or other
>sonographers.
>
>--
>********************
>W. Brown, M.D.
>Bay area

>Northern California
>USA
>buzzerIII@pol.net
>
>********************
>

--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com




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