Re liquid crystals screen
From: pellpatri@iol.it
Fri Jul 19 07:56:22 2002
> Dear Colleagues
I would like to ask you if there is a crystal liquid screen at very
high resolution to perform obstetrics ultrasound
Thank you
Patrizia
Dianne, excellent remarks about reimbursement.
>
> Regarding level one and two, I think those terms originated when the S
tate
> of California started its MSAFP program. Some patients required a more
> comprehensive exam depending on the results of their screen and I thin
k the
> State of California, since they were paying the bills, designated thes
e two
> levels, and indicated who could do and be paid for a level 2 exam. The
n, as
> you indicated, the less well trained or less interested practitioners
of
> ultrasound began to say, "well, I am not culpable for missing that, be
cause
> 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 ma
de 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 thr
ee was
> a
> > fetal echocardiogram.
> > Regarding the charges for these exams; as an expert high risk obstet
rics
> > 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 dist
ress",
> > this was a 35 week normal fetus. Breathing motion is of course a wel
come
> > 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 j
ust
> > fine, and here is one sucking his thumb and the other one grabbing i
ts
> > 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 comprehe
nsive
> > anatomic survey when the new CPT codes are in effect.
> > Dianne Walkup, RDMS, RDCS
> > mitakuye oyasin
>
