>From: Kathy Bowers <[log in to unmask]>
>Reply-To: Lactation Information and Discussion
><[log in to unmask]>
>To: [log in to unmask]
>Subject: question for hospital-based LC's
>Date: Sat, 13 Jul 2002 20:45:15 -0400
>
>I have been a hospital based RN,IBCLC for a little over 6 years. We do not
>yet bill for services. However, I have maintained statistics regarding
>mothers seen on rounds, calls and consults for almost 9 years. Now, I am
>being joined by 2 others, one RN,IBCLC and the other RN who will take the
>board exam late this month. I have discovered that we don't have specific
>guidelines that distinguishes between a mom who is seen on rounds for whom
>we answer a few questions and/or give basic instructions and a mom with
>whom we consult (hands-on assistance). Do any of you who are also
>hospital-based LC's have established guidelines that you could share? It
>would be much appreciated. Thanks in advance. (TIA) Please feel free to
>respond privately.
>Kathy Bowers
>
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We don't either....but are thinking about it and probably could be done
easily by assigning assigning a code - perhaps A- brief  <  than 15 minutes
b - intermediate - 15 - 30 minutes and c - extended - greater than 30
minutes.  This could easily be tallied as you go and then billed for a total
time at the end of each day by secretarial support or by power chart if your
hospital has such a thing.

LuAnn Smith Rn, IBCLC


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