Re: Third Party Payor Woes

From: David Nyberg (nyberg@u.washington.edu)
Thu Feb 12 12:59:37 2004


The only important risk factor for having a fetal anomaly is pregnancy itself. What is medically indicated? The family history, personal history, maternal age, or lifestyle are of little help in otherwise identifying patients at risk. I'd be happy to testify for the plaintiff when a major fetal anomaly could have been detected but the patient was not given the basic right of a fetal anatomic survey. Between the cost of caring for a handicaped infant and the potential legal judgment against the insurance carrier, most carriers have determined that this is not a battle to fight. Add to that general patient dissatisfaction and I would guess that Tricare won't be around in 5 years or so to worry about.

David

On Thu, 12 Feb 2004, art fougner, md wrote:

> Cross posted from Ob-Gyn-L -
>
> I just found out that Tricare would no longer reimburse for anatomy
> screen ultrasounds unless it is medically necessary. Personally, I do
> find them necessary. Is anyone having similar situations, and more
> importantly, strategies to fix this problem?
>
> --
> Richard Chudacoff, MD, FACOG
> Chudacoff Obstetrics & Gynecology, PA
> 15200 Southwest Freeway, #270
> Sugar Land, TX 77478
>
> Tel: 281-277-3900
> Fax: 281-277-3901
>
> rchudacoff@mylinuxisp.com
> Richard.Chudacoff@obgyn.net
>
> Anyone here care to suggest ways to help Rich?
>
> art
>
> --
> art fougner, md
> ich bin ein New Yorker
>

--
David Nyberg, MD
10401 E McDowell Mtn Ranch Rd
#2-372
Scottsdale, AZ 85255
ph cell 480-797-0993
fax 480-512-8737
work 480-512-3850



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