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.
Feeding the Newborn with Cleft Lip and Palate. Good nutrition is important for the growth and development of your baby. Some babies with cleft lip and palate are able to be fed with a bottle and later a spoon without problems, but others have a hard time.The cleft makes it difficult for the baby to get good suction on a bottle. While sucking and swallowing reflexes are present in a baby with cleft lip and palate, they do not work right.Your baby may not get enough to eat, or may get too tired when eating. Sometimes babies have problems with food coming out of the nose.he cleft makes it difficult for the baby to get good suction on a bottle. While sucking and swallowing reflexes are present in a baby with cleft lip and palate, they do not work right. Your baby may not get enough to eat, or may get too tired when eating.