debellis59
Networker
Hi Everyone:
We have a reciprocal agreement with another clinic except for when it comes to our midwife patients ... since, obviously, the midwives can't do Cesarean Sections in return. We had a patient that belonged to our midwives, the patient needed an emergent CS due to nonreassuring fetal heart rate and morbid obesity of mom. So, the doc we have the agreement came in to do the CS as our regular providers weren't available (one is on maternity leave). She ended up calling one of our OB Hospitalists (part of the group kind of, but not responsible for any day to day patient care) who assisted, with the midwife as second assist. Because of the extenuating circumstances, the other doc did the billing for the delivery only (rightfully so), but I'm wondering now ... do we still bill globally using the OB hospitalist (assist modifier was NOT used by the reciprocal provider, so not thinking we can) or do we break out the antepartum and postpartum care for the midwife and bill the delivery under the hospitalist? The problem is ... same tax ID for all. So any suggestions you have would be appreciated.
Thank you!
We have a reciprocal agreement with another clinic except for when it comes to our midwife patients ... since, obviously, the midwives can't do Cesarean Sections in return. We had a patient that belonged to our midwives, the patient needed an emergent CS due to nonreassuring fetal heart rate and morbid obesity of mom. So, the doc we have the agreement came in to do the CS as our regular providers weren't available (one is on maternity leave). She ended up calling one of our OB Hospitalists (part of the group kind of, but not responsible for any day to day patient care) who assisted, with the midwife as second assist. Because of the extenuating circumstances, the other doc did the billing for the delivery only (rightfully so), but I'm wondering now ... do we still bill globally using the OB hospitalist (assist modifier was NOT used by the reciprocal provider, so not thinking we can) or do we break out the antepartum and postpartum care for the midwife and bill the delivery under the hospitalist? The problem is ... same tax ID for all. So any suggestions you have would be appreciated.
Thank you!