Wiki Billing for deliveries performed by Certified Nurse Midwife

[lothompson]

When a Certified Nurse Midwife performs delivery, does there need to be a supervising provider listed on the claim? The CNM is delivering on her own without assistance. The question has been asked in our practice, who gets the wRVUs from the CNM deliveries.

 

[Cmama12]

I imagine the rules could differ per state as well as per payer. For the states I bill, the CNM is able to bill. No physician necessary. There is one exception in one of the states I bill with a specific insurer (Cigna) and for those it has to be billed under an MD.

 

[lothompson]

Thank You!