antepartum billing

  1. D

    Wiki Aetna and antepartum care

    Hi everyone: We had a patient (Aetna coverage) who had antepartum care that crossed over the 2024/2025 year change. She had four antepartum visits, so it was billed with 59425. There was no plan/coverage/group change for the new year. Aetna is denying it wanting it to be broken out by year...
    • debellis59
    • Thread
    • aetna antepartum billing antepartum care
    • Replies: 1
    • Forum: OB/GYN
  2. A

    Wiki Multiple providers for antepartum care

    I work for a small clinic in Northern California where our primary payor is Partnership (MediCal/Medicaid based). Our independent contractors and locum tenens are rotated in our clinic for a few weeks at a time. Our patients may see up to 5 different providers during their pregnancy. As I am...
    • AFrench
    • Thread
    • antepartum billing medi-cal billing medicaid billing
    • Replies: 0
    • Forum: OB/GYN
  3. J

    Wiki Global Billing for Antepartum Care, HELP!

    We have been billing 2 antepartum global charges to BCBS(NC), the first claim with the LMP-9/30/15, the second charge from 10/1/15-delivery in order to separate ICD-9/ICD-10 (billing this way ONLY for BCBS per their billing guidelines everyone else we bill globally gets one global charge). I...
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