Southwest Home Loans, Inc.

Initial Business Response /* (1000, 5, 2016/10/17) */
Contact Name and Title: *** ***, RN/Office Mana
Contact Phone: XXX-XXX-XXXX Ext
Contact Email: ***@cableone.net
In response to the stated complaint, it is our office policy that on the first visit for the pregnancy, we go over our
Obstetric Financial AgreementThis agreement specifically states the price of the service for an epidural performed by DrLaceyIt also states the patient's insurance may not cover service and if this is the case and the patient chooses to proceed, the patient will be held financially responsible for the billThis is signed and dated by the patient and a witness from our officeA copy is given to the patient and one is included in the patient's chart
As for this service being included in the global OB charge, according to the Current Procedural Coding (CPT) book and the American Congress of Obstetricians and Gynecologists (ACOG) , where the procedure codes originates from (CPT Code 59400, specifically), this includes Fetal Heart Tones, Hospital/Office visits, Initial/subsequent history, physical exams, recording of weight/blood pressure, routine urinalysis, routine prenatal visits, postpartum visit It DOES NOT include epidural anesthesia Also, if this would have been performed and charged by the anesthesia department, the insurance company would have paid the fee The insurance company does not want to pay the physician for doing the service We are willing to give the patient a 20% cash discount

Initial Business Response /* (1000, 5, 2016/10/17) */
Contact Name and Title: [redacted], RN/Office Mana
Contact Phone: XXX-XXX-XXXX Ext 4
Contact Email: [redacted]@cableone.net
In response to the stated complaint, it is our office policy that on the first visit for the pregnancy, we go over our...

Obstetric Financial Agreement. This agreement specifically states the price of the service for an epidural performed by Dr. Lacey. It also states the patient's insurance may not cover service and if this is the case and the patient chooses to proceed, the patient will be held financially responsible for the bill. This is signed and dated by the patient and a witness from our office. A copy is given to the patient and one is included in the patient's chart.
As for this service being included in the global OB charge, according to the Current Procedural Coding (CPT) book and the American Congress of Obstetricians and Gynecologists (ACOG) , where the procedure codes originates from (CPT Code 59400, specifically), this includes Fetal Heart Tones, Hospital/Office visits, Initial/subsequent history, physical exams, recording of weight/blood pressure, routine urinalysis, routine prenatal visits, postpartum visit. It DOES NOT include epidural anesthesia. Also, if this would have been performed and charged by the anesthesia department, the insurance company would have paid the fee. The insurance company does not want to pay the physician for doing the service. We are willing to give the patient a 20% cash discount.