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Re: Level three sonogram From: Allen Worrall (jworrall@alaska.net) Thu Jul 18 23:49:03 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: pellpatri@iol.it: "Re liquid crystals screen" Previous message: Dianne Walkup: "Re: Level three sonogram" Maybe in reply to: Karen Roersma: "Level three sonogram" Next in thread: roger sanders: "Re: Level three sonogram" Reply: roger sanders: "Re: Level three sonogram" Dianne, excellent remarks about reimbursement. Regarding level one and two, I think those terms originated when the State of California started its MSAFP program. Some patients required a more comprehensive exam depending on the results of their screen and I think the State of California, since they were paying the bills, designated these two levels, and indicated who could do and be paid for a level 2 exam. Then, as you indicated, the less well trained or less interested practitioners of ultrasound began to say, "well, I am not culpable for missing that, because I was doing only a level one scan". The editorial by Dr. Roy Filly explains it very well. Allen >----- Original Message ----- From: "Dianne Walkup" <diannewalkup@hotmail.com> To: "Multiple recipients of list ULTRASOUND" <ultrasound@mail.medispecialty.com> Sent: Thursday, July 18, 2002 8:14 PM Subject: Re: Level three sonogram > Greetings, The level one, two and three labels are old and never made any > sense in the first place. Im my opinion, a level one is an simply a poor > excuse for not knowing what you are doing. The old monikers, however, meant > that a level two was a comprehensive anatomy survey, and a level three was a > fetal echocardiogram. > Regarding the charges for these exams; as an expert high risk obstetrics > Sonographer working for perinatologists that know OB ultrasound, we get > reimbursed no more than the people who have no business picking up a > transducer do. As two cases in point from this week alone: one was a > referral because " the fetus is breathing and may be in serious distress", > this was a 35 week normal fetus. Breathing motion is of course a welcome > occupation for a 35 week fetus. Another this week was the one where the OB > doc told the patient a week ago that both of her twins were "doing just > fine, and here is one sucking his thumb and the other one grabbing its > foot". We found only one baby at 18 weeks gestation with no evidence of a > second. The referring doc said simply "I made a mistake." > Needless to say, I will welcome being able to charge (and maybe even be > properly reimbursed) for my standard exam which is always a comprehensive > anatomic survey when the new CPT codes are in effect. > Dianne Walkup, RDMS, RDCS > mitakuye oyasin Next message: pellpatri@iol.it: "Re liquid crystals screen" Previous message: Dianne Walkup: "Re: Level three sonogram" Maybe in reply to: Karen Roersma: "Level three sonogram" Next in thread: roger sanders: "Re: Level three sonogram" Reply: roger sanders: "Re: Level three sonogram"

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