• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki OB Global Billing

Create Wiki
M

midoricpc

Guest
Messages
1
Best answers
0
Hello

Joan Smith started her insurance coverage shortly after she found out she was pregnant. Joan saw the same doctor throughout her pregnancy, delivery and postpartum care.

The catch is, Joan's health insurance covers antepartum and postpartum care, but imposes a preexisting condition waiting period on the delivery.

Can the provider unbundle and bill the components separately so that Joan isn't responsible for the charges associated with antepartum & postpartum care? Also, where can I find the rule about this?

Thanks
Gina
 
Our group has unbundled the global OB fee based on primary insurance coverage (policy exclusions, changes in coverage, etc.). Many years ago, we had a consultant come in for an OB-GYN coding presentation, and she advised to unbundle.

We sometimes have to provide documentation to support the services, but most claims process without difficulty.
Jen
 
You must log in or register to reply here.
Top