Practice Management

A challenge we often face is that the requested services often are inconsistent with the referral diagnosis/indication. For example, MFM consultation is requested for a prior abnormal ultrasound but the referring provider does not checkoff ultrasound, or genetic counseling is appropriate but not requested on the referral. 

A team member proposed the following solution.  Share with the referring practices a list of common indications and the recommended services for this indication in the form of document titled "Maternal-Fetal Medicine Recommended Services".  On the referral form for requested services, we can have a box stating "MFM services as detailed on the "Maternal-Fetal Medicine Recommended Services form".  Below this on the form we can list the various individual services in the event that the referring provider does not want any of the particular services.

Thank you in advance for any input.


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Robert Ehsanipoor
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Something like this would really help us too! It's a constant struggle, and time consuming to work with referring providers on getting the orders right.

If you develop an MFM Recommended Services Form, would you be willing to share?

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Kristina Roloff
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Original Message:
Sent: 02-03-2021 13:27
From: Robert Ehsanipoor
Subject: Referral form

A challenge we often face is that the requested services often are inconsistent with the referral diagnosis/indication. For example, MFM consultation is requested for a prior abnormal ultrasound but the referring provider does not checkoff ultrasound, or genetic counseling is appropriate but not requested on the referral.

A team member proposed the following solution.  Share with the referring practices a list of common indications and the recommended services for this indication in the form of document titled "Maternal-Fetal Medicine Recommended Services".  On the referral form for requested services, we can have a box stating "MFM services as detailed on the "Maternal-Fetal Medicine Recommended Services form".  Below this on the form we can list the various individual services in the event that the referring provider does not want any of the particular services.

Thank you in advance for any input.


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Robert Ehsanipoor
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Hi Kristina,
Please see my earlier response. I attached to it the form my group uses though currently adapted into our EMR for online ordering.
Fadi

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Fadi Bsat, MD
Past Chair, SMFM Coding Committee
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Original Message:
Sent: 02-04-2021 09:47
From: Kristina Roloff
Subject: Referral form

Something like this would really help us too! It's a constant struggle, and time consuming to work with referring providers on getting the orders right.

If you develop an MFM Recommended Services Form, would you be willing to share?

------------------------------
Kristina Roloff

Original Message:
Sent: 02-03-2021 13:27
From: Robert Ehsanipoor
Subject: Referral form

A challenge we often face is that the requested services often are inconsistent with the referral diagnosis/indication. For example, MFM consultation is requested for a prior abnormal ultrasound but the referring provider does not checkoff ultrasound, or genetic counseling is appropriate but not requested on the referral.

A team member proposed the following solution.  Share with the referring practices a list of common indications and the recommended services for this indication in the form of document titled "Maternal-Fetal Medicine Recommended Services".  On the referral form for requested services, we can have a box stating "MFM services as detailed on the "Maternal-Fetal Medicine Recommended Services form".  Below this on the form we can list the various individual services in the event that the referring provider does not want any of the particular services.

Thank you in advance for any input.


------------------------------
Robert Ehsanipoor
------------------------------

Original Message:
Sent: 2/4/2021 9:48:00 AM
From: Kristina Roloff
Subject: RE: Referral form

Something like this would really help us too! It's a constant struggle, and time consuming to work with referring providers on getting the orders right.

If you develop an MFM Recommended Services Form, would you be willing to share?

------------------------------
Kristina Roloff
------------------------------

Original Message:
Sent: 02-03-2021 13:27
From: Robert Ehsanipoor
Subject: Referral form

A challenge we often face is that the requested services often are inconsistent with the referral diagnosis/indication. For example, MFM consultation is requested for a prior abnormal ultrasound but the referring provider does not checkoff ultrasound, or genetic counseling is appropriate but not requested on the referral.

A team member proposed the following solution.  Share with the referring practices a list of common indications and the recommended services for this indication in the form of document titled "Maternal-Fetal Medicine Recommended Services".  On the referral form for requested services, we can have a box stating "MFM services as detailed on the "Maternal-Fetal Medicine Recommended Services form".  Below this on the form we can list the various individual services in the event that the referring provider does not want any of the particular services.

Thank you in advance for any input.


------------------------------
Robert Ehsanipoor
------------------------------

Hi Robert,
In your referral form (which can also be adapted to your EMR), you can add a statement stating that additional ultrasound studies or testing may be done when clinically indicated unless specifically declined by the referring provider. This will help stay compliant. I am attaching our form which we have adapted to our EMR, though we rarely use it anymore.
All the best,
Fadi

------------------------------
Fadi Bsat, MD
Past Chair, SMFM Coding Committee
------------------------------

Original Message:
Sent: 02-03-2021 13:27
From: Robert Ehsanipoor
Subject: Referral form

A challenge we often face is that the requested services often are inconsistent with the referral diagnosis/indication. For example, MFM consultation is requested for a prior abnormal ultrasound but the referring provider does not checkoff ultrasound, or genetic counseling is appropriate but not requested on the referral.

A team member proposed the following solution.  Share with the referring practices a list of common indications and the recommended services for this indication in the form of document titled "Maternal-Fetal Medicine Recommended Services".  On the referral form for requested services, we can have a box stating "MFM services as detailed on the "Maternal-Fetal Medicine Recommended Services form".  Below this on the form we can list the various individual services in the event that the referring provider does not want any of the particular services.

Thank you in advance for any input.


------------------------------
Robert Ehsanipoor
------------------------------