On behalf of Judy LeVan Fram who tried to post this as her third post
today when for reasons unknown the listserv rejected it, I am sending
it now.
Rachel
"Judy G writes:
Jaye states: "I do find it disconcerting that a physician can bill for a
15 minute lactation visit in office and get paid more than a 2 hour home
visit by someone who is providing a vastly different level of detailed
analysis, individual relevance in one's own home, the ability t0
take time to see
the
affect/outcome of many of the suggestions and strategies and much deeper
and broader follow-up care."
Correction: Jaye did not say that, I did, ( Judy F) but it's easy error to
make. Just don't want Jaye to be held accountable for my words. :)
Also, the idea that MDs have more costs and past debt and overhead is true.
That is why I did not fault paying the $150 dollars to be seen by an
orthopedic surgeon who saw me for 5 minutes worth of assessment. This is his
area of expertise. Most pediatricians, being medical doctors, are experts in
the medical issues of pediatric care, they are not experts in lactation or
breastfeeding dyad issues. Even if they can bill for 15 minutes and they
receive 50 dollars in reimbursement, that would be akin to receiving 400 for
a normal-length 2 hour visit. That is much more by a lot than the vast
majority of lactation consultants bill for. Also, since I have experience as
both a PT and an IBCLC I can say that the breadth, the depth, the
intensity,
the counseling skills required, and the follow-up needed regarding a
"usual" PT ( or OT or SLT) home visit, and a "usual" IBCLC home
visit are not
comparable at all. I have done many tandem visits and have seen this first
hand, both from my "being" the PT and my "being" the IBCLC.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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