Hi Peter ~ A quick note that you may also get guidance on the practice management community page if you post over there, too!
Since it's a coding thread I will reply from my experience. I code for over 20 mfm practices and many Obgyn practices. I will tell you that a lot of it depends on location. In the south a lot of private mfms also deliver pts so I see way less consults done by mfms. Usually they don't manage pts and just follow obgyns orders. Up North, mfms who don't deliver, they manage pts until they deliver. The relationship between mfms and obgyns are very different in the south. I think it's a matter of relationships between doctors and since mfms rely on referrals from Obgyn it's a thin line that they don't want to cross. I do have mfm practices that still do what they are comfortable with and do consults and manage pts but the referral rate to those mfm offices are way less…. This is just my observation.
Hi. We are one of those practices that use 1) "Detailed US, consult as indicated"; or 2) "MFM consult, US as indicated" as our primary ultrasound orders. If there are no risk factors or indications for a consult, none is charged but, when there are risk factors/indications, we will not take on the liability for performing a detailed ultrasoound and not performing a consult nor will we trust an outside OB to give findings and set an appropriate plan of care. Our practice is a "consult only" practice and does not provide primary care and we are not set up as a radiology-type center either. Our providers see every patient receiving ultrasound services.