Charging ED visit and admission/delivery same day

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Hello all,

I have a client (large hospital system) that bills for an ED visit when seen by an OB Triage provider when they are admitted the same day for active labor and delivery occurs. Does anyone know if this is kosher? Wouldn't the "ED"/Triage provider's evaluation that the patient is in active labor and is kept in the hospital to deliver be part of the Global OB package? This is the state of Washington. Any help is appreciated.

Thank you,
Anita:confused:
 
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