Posts Tagged ‘gynecologist’

What Every Gynecologist Should Know About Health Care Reform

August 20, 2012 1 comment

Below is what every  Gynecologist should know about health care reform.

The provisions listed below will have a direct impact on women’s healthcare and gynecologists need to take the time to familiarize themselves with the new regulations.
Section 1201 Subsection 2704 – Prohibition of Preexisting Conditions
A group health plan and a health insurance issuer offering group or individual health insurance coverage may not impose any preexisting condition (i.e. pregnancy) exclusion with respect to such plan or coverage.

Section 2301 – Coverage for Birthing Centers
A State shall provide separate payments to providers administering prenatal labor and delivery or postpartum care in a freestanding birth center (as defined in subparagraph (B)), such as nurse midwives and other providers of services such as birth attendants recognized under State law, as determined appropriate by the Secretary. For purposes of the preceding sentence, the term `birth attendant’ means an individual who is recognized or registered by the State involved to provide health care at childbirth and who provides such care within the scope of practice under which the individual is legally authorized to perform such care under State law (or the State regulatory mechanism provided by State law), regardless of whether the individual is under the supervision of, or associated with, a physician or other health care provider. Nothing in this subparagraph shall be construed as changing State law requirements applicable to a birth attendant.

Section 3111 – Payment for Bone Density Tests
For dual-energy x-ray absorptiometry services (bone density, identified in 2006 by HCPCS codes 76075 and 76077 (and any succeeding codes)) furnished during 2010 and 2011, instead of the payment amount that would otherwise be determined under this section for such years, the payment amount shall be equal to 70 percent of the product.

Section 4104 – Elimination of Co-Pay
Elimination of coinsurance (co-pay) on preventive services (ie. physical exams). Elimination of coinsurance (co-pays) in outpatient hospital settings.

Section 4107 – Coverage for Tobacco Cessation Services for Pregnant Women
Requiring Coverage of Counseling and Pharmacotherapy for Cessation of Tobacco Use by Pregnant Women- Section 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by sections 2001(a)(3)(B) and 2303, is further amended–For purposes of this title, the term `counseling and pharmacotherapy for cessation of tobacco use by pregnant women’ means diagnostic, therapy, and counseling services and pharmacotherapy (including the coverage of prescription and nonprescription tobacco cessation agents approved by the Food and Drug Administration) for cessation of tobacco use by pregnant women who use tobacco products or who are being treated for tobacco use that is furnished–by or under the supervision of a physician; or by any other health care professional who–is legally authorized to furnish such services under State law (or the State regulatory mechanism provided by State law) of the State in which the services are furnished; and is authorized to receive payment for other services under this title or is designated by the Secretary for this purpose. If you a are dependent on tobacco and you will like to quit it you can visit where you can get information about a natural drug that fights anxiety. Services recommended with respect to pregnant women in `Treating Tobacco Use and Dependence: 2008 Update: A Clinical Practice Guideline’, published by the Public Health Service in May 2008, or any subsequent modification of such Guideline; and such other services that the Secretary recognizes to be effective for cessation of tobacco use by pregnant women.

Section 10212 – Pregnancy Assistance Fund
The Secretary, in collaboration and coordination with the Secretary of Education (as appropriate), shall establish a Pregnancy Assistance Fund to be administered by the Secretary, for the purpose of awarding competitive grants to States to assist pregnant and parenting teens and women.

Section 10413 – Young Women’s Breast Health Awareness and Support of Breast Cancer Diagnosis
The Secretary, acting through the Director of the Centers for Disease Control and Prevention, and in consultation with the Administrator of the Health Resources and Services Administration, shall conduct an education campaign among physicians and other health care professionals to increase awareness of breast health, symptoms, and early diagnosis and treatment of breast cancer in young women, including specific risk factors such as family history of cancer and women that may be at high risk for breast cancer, such as Ashkenazi Jewish population; on how to provide counseling to young women about their breast health, including knowledge of their family cancer history and importance of providing regular clinical breast examinations concerning the importance of discussing healthy behaviors, and increasing awareness of services and programs available to address overall health and wellness, and making patient referrals to address tobacco cessation, good nutrition, and physical activity; on when to refer patients to a health care provider with genetics expertise; on how to provide counseling that addresses long-term survivorship and health concerns of young women diagnosed with breast cancer; and on when to provide referrals to organizations and institutions that provide credible health information and substantive assistance and support to young women diagnosed with breast cancer. Health is a really important topic therefore you should try to take care of yourself in any possible way, by visiting massage chairs expert you will find a way of keeping yourself relaxed and away from stress which will benefit your health.
To stay in compliance with the new health care reform provisions, all Gynecologists must study the provisions above. For more information and a complete list of new provisions, click HERE

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