Re: Reimbursement for Obesity
From: Dr. Roger Klam (tstork2@cecc.net)
Tue Oct 19 10:26:59 1999
use 99401, 99402, or 99403. Some insurance companies pay, some do not.
--
Roger Klam, M.D.
>----- Original Message -----
From: "SONNENSTUHL PAT" <webmidwife1@home.com>
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@talk.obgyn.net>
Sent: Tuesday, October 19, 1999 8:43 AM
Subject: Re: Reimbursement for Obesity
> My questions stems from what we can do to help obese women. Sometimes in
> gyn settings, obesity is difficult to bill for. Especially the ongoing
> support and counseling needed. I am working on CPG related to insulin
> resistance, and am interested how practitioners could bill for support
> and counseling they give to obese clients. Pat Sonnesntuhl, ARNP, CNM
>
> "Kathi Wilson, BHSc, RM" wrote:
> >
> > At Mon, 18 Oct 1999, SONNENSTUHL PAT wrote:
> > >
> > >Way to go!
> > >I wish more practitioners would really work with their obese clients
and
> > >help them eat in more healthy ways. It's not enough to just give them a
> > >diet. I know it is time consuming, but essential. This discussion
> > >certainty supports engaging the client in their own care. Is Obesity an
> > >easily bill able service in Canada, like: nutritional counseling etc,
> > >etc?
> >
> > Actually, this woman wasn't obese, interestingly enough. She just ate
> > *tons* of fruit. Had normal glucose screen, too.
> >
> > In answer to your second question: we(i.e. midwives)are not paid in
> > that manner. We are compensated for an entire course of care including
> > pregnancy,labour/birth and 6 weeks postpartum. It's intended to be an
> > incentive to provide exactly the sort of care you describe.
> >
> > --
> > Kathi Wilson BHSc RM
> > Thames Valley Midwives
> > London, Ontario, Canada
> > http://tvm.on.ca
> > mailto:wilsonk@gtn.net
>
