Wiki medicaid delivery

[manda12]

i am new to obgyn and reviewing claims already billed. can someone clarify how you would code for Medicaid patients that we do ante partum, delivery and postpartum care? From what I have seen we have to bill all services separate versus bundled for commercial payers... is this correct?

 

[csperoni]

If you provide global maternity, it is up to the carrier whether to bill as global or split.
Each state Medicaid has their own policy. From what I have seen, most Medicaid plans do want split billing. They should have a provider manual specifying their policy.
Similarly, each commercial carrier will also have a policy regarding how they cover and pay for maternity care.
There will also be situations where a carrier does accept or require global billing, but you do not provide global maternity and must split bill.