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Re: Level three sonogram From: viv souter (vsouter@yahoo.com) Wed Jul 17 12:55:00 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Level three sonogram" Previous message: DuBose, Terry: "Re: Level three sonogram" In reply to: art fougner, md: "Re: Level three sonogram" Next in thread: art fougner, md: "Re: Level three sonogram" Reply: art fougner, md: "Re: Level three sonogram" Reply: art fougner, md: "Re: Level three sonogram" Hi Art and Allen I agree that the quality of ultrasound varies between different providers and I am not suggesting that the standard should be reduced to the lowest common denominator.... but, like Allan, I am not convinced that the quality of the ultrasound always follows the charge or the qualifications. I was surprised coming to the USA, how many of the scans are performed by sonographers and "signed off" by family practitioners, obstetricians and perinatologists. Obstetricians / perinatologists who are personally expert at ultrasound scanning seem to be in the minority, although I admit my experience of USA practice is limited. The sensitivity of ultrasound as a screening test may therefore be more closely correlated with the skill of the individual sonographer and the quality of the ultrasound equipment. There are also scans that are paid for directly by patients and not re imbursed by insurance companies; these currently include NT scanning in some places and ultrasound for infertility treatment. Are there are any regulations regarding charges for these scans? Vivienne "art fougner, md" <evsono@pipeline.com> wrote: right - i can see the folks linin up to request the low cost no frills low quality study LOL. art At Tue, 16 Jul 2002, Allen Worrall wrote: > >Vivienne - I think there is an element of charging what the traffic will bear. Also, there is often a big difference between what we charge and what we collect. The third party payers will only pay what they want to pay. > >I sometimes think the insurance industry does not pay much attention to prenatal ultrasound, because it is a drop in the bucket compared to many of the medical procedures they have to pay for. > >I have no way of knowing how the charges differ from one place to another. I am in a position to know that the quality of the exam, and the quality of the reports, varies tremendously from one place to another. > >I suspect there is little correlation between the charge and the quality. > >Allen > >Joseph A Worrall MD RDMS >The Fairbanks Clinic >1919 Lathrop Street, Suite 100 >Fairbanks, AK 99701 >jworrall@alaska.net >http://www.obgynsono.com > >>> ----- Original Message ----- > From: viv souter > To: Multiple recipients of list ULTRASOUND > Sent: Tuesday, July 16, 2002 6:54 AM > Subject: RE: Level three sonogram > > Hi > > I am a bit confused about charging for ultrasound exams in the USA; some centers charge large amounts of money for a limited exam and I have been told that this is because the scan is being performed by a "more highly trained person" (an ob/gyn with subspecialty training rather than a radiologist) and that it is a level three scan (!!). As a lowly British doctor, I am at a loss to understand this...... > > Vivienne > > "DuBose, Terry" wrote: > > Karen, I think "level three" is a meaningless term. Probably used by some > to inflate their ego(s). There are different ideas about how the level 1 > and 2 got started, and the meaning. The AIUM and CPT codes do not recognize > any but complete and limited exams, no levels 1 or 2. > > For an interesting take on this look for an AJR editorial by Dr. Roy > Filly... for more see: > > http://forums.obgyn.net/womens-health/WHF.9709/0168.html > > Hope this helps. > > Peace, Terry J. DuBose, M.S., RDMS > Assistant Professor & Director, Diagnostic Medical Sonography Program > CHRP, University of Arkansas for Medical Sciences > Little Rock, Arkansas, USA > 501-686-6510 > http://www.io.com/~dubose/ > http://www.uams.edu/CHRP/dmshome.htm > http://www.obgyn.net/us/panel/panel.htm > > -----Original Message----- > From: kroersmardms@netscape.net [mailto:kroersmardms@n! etscape.net] > Sent: Monday, July 15, 2002 8:29 PM > To: Multiple recipients of list ULTRASOUND > Subject: Level three sonogram > > What's a "level three" sonogram? I've not heard this term before First > Look used it on website. I thought even the "level two" moniker was > going by the wayside in favor of "targeted" scan. > > ~Karen -- art fougner, md ich bin ein New Yorker Yahoo! Autos - Get free new car price quotes Next message: art fougner, md: "Re: Level three sonogram" Previous message: DuBose, Terry: "Re: Level three sonogram" In reply to: art fougner, md: "Re: Level three sonogram" Next in thread: art fougner, md: "Re: Level three sonogram" Reply: art fougner, md: "Re: Level three sonogram" Reply: art fougner, md: "Re: Level three sonogram"

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