Hi, Laurie and others: Sounds to me like, as someone else mentioned, a billing issue. When you look at the billing sheet that's handed to you by the doc as you exit the examine room at his office, you see that there are various levels of visits he can check - they usually are labled low, medium, or high complexity, and depending on which he has checked determines how high your bill is. So you may be considered a low complexity visit this time and a medium or high complexity visit the next time, depending on the diagnosis and the amount of time the doc spends with you. The only way I think this system would work with inpt billing, is if each visit is billed after the mom has been seen by the LC, with that particular visit's complexity being determined at the time by the LC. I believe of those hospitals that separately bill for inpt lactation visits, most tack a one time charge onto the room charge, or miscellaneous charge. If this is the system your hospital currently uses, Laurie, it won't work. Of course, having each separate visit billable makes the most sense and compensates us the most fairly for our work, just like a dr visit. For those of you in private practice using a superbill for charges takes into account the complexity and amount of time spent on a visit, leading to fairer compensation for your time. Just my 2 cents. Pam Hirsch, RN,BSN,CLC Clinical Lead, Lactation Services Advocate Good Shepherd Hospital Barrington, IL USA *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html