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Thread: Billing global delivery under midwife

  1. #1
    Join Date
    Apr 2007

    Default Billing global delivery under midwife

    AAPC: Back to School
    Can someone please tell me how they handle billing for global deliveries when the care is shared between the provider but the midwife ends up doing the delivery? I know each insurance company has it's own rule but their has to be a guideline somewhere. It does not seem fair that insurances want to reduce our fee if we bill under the midwife just because she ends up doing the delivery, when the doctor did part of the global care also. HELP!

  2. #2
    Join Date
    Apr 2007
    Idaho Falls, Idaho


    We have 2 CNMs and bill this way all the time, and we haven't seen any lower payments. But, no, you can't break up the global between providers in the same practice.
    Tesja Erickson, CPC, CPMA COBGC, CEMC
    The Coding Surgeon
    Medical Documentation & Coding Consultant
    2012 AAPC Idaho Falls Chapter President
    2011 AAPC Idaho Falls Chapter President-Elect

  3. #3
    Join Date
    Apr 2007


    we bill under the doctor for the midwifes. Some of the insurance dont want it billed under the midwife and some do when I asked them how can they break and decrease the amt when part of that care is the prenatal and the doctor maybe discharged them they were involved and the insurance couldnt give me any answers and would have to discuss it further then they said they didnt think of Global care and so we bill under the doctor instead.

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