Pam, Thanks for all of the info about billing. I have been trying to
find a way to do this for quite some time and have not been able to. I
was interested in your process of getting a standing order for an LC
visit. Can you explain how you did that? Did you get an order from
all of the docs at your hospital, OBs and Peds? Thanks, Sue Gehrman
Susan Gehrman RN, IBCLC, CCE
Battle Creek Health System
300 North Ave.
Battle Creek, Michigan 49016
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>>> [log in to unmask] 1/15/2007 3:13 PM >>>
Brenda: We bill outpatients - now, if I only had space to see the
moms...but
that's another issue. We really don't do any advertising. It's mostly
word of
mouth or a mom just shows up wanting to be seen. The hospital I work
in is
part of a large corporation. I contacted our corporate people a couple
of
years ago about the feasibility of billing both inpatients and
outpatients. I was
given billing numbers and a fee structure - our fees are based on time.
We bill
$53 for a Level I visit of 20 minutes or less, $105 for a Level II
visit of 20-45
minutes, and $210 for a Level III visit which is anything over 45
minutes. We
all know how long a visit that involves a feeding is. Most of our
visits are
Level III billings, and do include any equipment except pump kits. We
currently do not rent pumps or do any kind of retail business. One of
our
techs does my billing for me. She is also kind enough to do the
billing after the
visit. All she asks is that I make a copy of the mom's driver's
license and her
insurance card, write down the visit level and make sure there is a
doctor's
order in the chart. I work under a standing order, which saves the mom
from
having to stop at the doctor's office and get a prescription and saves
the
office staff from having to fax an order over to me. This saves mom
from
having to sit in outpatient admitting for who knows how long with a
screaming,
hungry baby. She can come right up to my office. I very rarely have a
mom
tell me that her insurance would not cover a LC visit - I tell them
when I set
up her appointment to check with her insurance. For any mom who will
not be
covered by insurance, the visit is free.
I almost had Corporate convinced that we should also bill for inpatient
lactation visits, but then they decided that LC visits were part of the
nurses'
education at the bedside and wouldn't allow it. We are looking into
billing in a
situation where mom has been discharged, but is seeing Lactation when
she
comes in to see her SCN baby. I can some days spend quite a bit of
time with
what is technically an outpatient SCN mom and we are not considering
these
billable visits.
Hope this helps.
Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL USA
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