Most hospitals have a good process in place to submit Medicare Indirect Medical Education (IME) shadow bills to CMS for patients registered under Medicare Advantage plans, but issues can still occur resulting in underpayment.
Cleft lip and cleft palate occur when tissues in the baby's face and mouth don't fuse properly. Normally, the tissues that make up the lip and palate fuse together in the second and third months of pregnancy. But in babies with cleft lip and cleft palate, the fusion never takes place or occurs only part way, leaving an opening (cleft). Researchers believe that most cases of cleft lip and cleft palate are caused by an interaction of genetic and environmental factors. In many babies, a definite cause isn't discovered.
After surgery for cleft palate: 1  Your child may experience more discomfort and pain with cleft palate repair than cleft lip repair. 2  Your child may have nasal congestion. This can be relieved with medication. 3  Your child may stay in the hospital for one to three days and will be given antibiotics to prevent infection.