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    Question Commercial and Medicaid Maternity Billing

    Hello, We often have patients that have commercial insurance with Medicaid primary for all of their maternity care. If the patient meets the requirements for a global delivery we will bill the global delivery but in this case the patient doesn't have maternity coverage with her commercial...
  2. S

    Question Compliance for Maternal Fetal Medicine Billing Global Delivery

    Hello, My question is if Maternal Fetal Medicine is seeing a patient for all of her prenatal care, delivery and postpartum care, shouldn't MFM bill out a global delivery charge if the patient meets the criteria with the amount of prenatal visits (approximately 13 rule)? Also if MFM is seeing a...
  3. K

    How to bill assistant surgeons- OBGYM

    Hey all, I am just needing verification how to bill an assistant at surgery.. my thoughts are either 59409,80; 59514,80; 59612,80; 59620,80 (depending on the situation/documentation). Any input is greatly appreciated. **actually just verified that the 80 modifier is only allowed on 59514...
  4. J

    United HealthCare Bundling

    United Healthcare has started retracting our confirmation of pregnancy visits once the delivery has been billed. The confirm is billed w/ Z32.00 (pregnancy test, result unknown) and they follow up with a dating u/s for viability. Global doesn't start until the following appointment. I have...
  5. J

    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...