Wiki postpartum hospital visit

[amrb136]

Our provider was on call, sees patient over the weekend for postpartum care only. We have never seen this patient prior. Can we bill and get paid for this?

 

[cedwards]

Was your provider "on call" as the "covering" physician for the physician who billed the complete global package or who will be billing for postpartum care? If it was a "covering" situation I would have to say you would not be reimbursed for this visit. If the visit was not on the basis of a covering physician you should be reimbursed for this visit.