We've been charging and billing insurance since Feb. Before we did it, our supervisor called other local hospitals (pretending to be a mom) and found that nearly all did charge and were getting insurance reimbursement. In talking professional to professional, she learned that one secret is to charge to the baby, not to the mom. Even if sore nipples is the most obvious presentation, we get the order from the baby's doc and if nothing else applies, the diagnosis is "neonatal breastfeeding problems". We haven't received any complaints about charges being billed back to the moms and anticipate our first statistical report within the next month. I was reluctant to charge (my LLLL background), but when it was pointed out that if you come back to the hospital for lab work or PT ,for example, you expect there will be a charge and seeing an LC (in the hospital setting) shouldn't be any different. The only ones that have expressed surprise at there being a charge are the ones who came in for free with previous babies. For documentation, we have found the TLC program (stands for The Lactation Consultant) to be about the only one avaialble with as much usefullness. We also started pump rentals and it had the best opitons, including being able to gather statistics and info on completed rentals-something the other rental computer programs didn't have. There are some "glitches" and frustrations about how it works-things that we would have done differently had we been creating one from scratch. However, many of the "lists" can be edited to meet your needs and be more current and we keep changing those the more we use the program. Again, it is certainly not perfect, but short of creating one on our own, it was the most useful we could find. (Note: I have no financial interest in the program or the company). Winnie *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html