I am just getting started in my own practice and new to dealing with insurance companies but I'd like to add a thought.
One way to get more time to see a breastfeeding dyad (if the time limits are due to insurance reimbursement) is by charging for the mother and the baby separately if warranted, as it often is --meaning separate diagnosis for each. 

Melinda Harris Moulton 
ARNP, IBCLC 
Breastfeeding Medicine of South Sound


> On Apr 19, 2014, at 3:57 PM, Debra Swank <[log in to unmask]> wrote:
> 
> Mary Wagner-Davis wrote:
> 
> "Does this exist?  I'm currently working in an outpatient setting, most babies seen are less than 2 weeks of age.  Up until now, appointments have been 45minutes (I know, I know).  Management now wants to reduce that time to 30 minutes.  My thinking is, if you want only triage, go ahead; if you want to assess breastfeeding, resolve issues, that's not enough time.  What's the research (if any)?"
> 
> Mary, I wish I could provide the research you requested on this.  Would it help in advocating for a consult that is tailored in length to the needs of the dyad, and particularly tailored to the baby's motor learning needs when that's the reason for the consult, by reminding management that billing is also tailored to the length of the visit?  Is your outpatient facility currently  billing for your services?  
> 
> I would also love to hear from other outpatient folks in regard to how reimbursement is working, now that we're this far into the Affordable Care Act.  
> 
> Debra Swank, RN BSN IBCLC
> Ocala FL USA
> 
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