Ob-Gyn Coding Alert

Here's how to capture the work of the more complicated delivery scenarios.In this age of fertility-enhancing medications and artificial insemination, multiple gestation pregnancies (that is, twins, triplets, etc.) seem to be popping up everywhere. Don't leave money on the table by not reporting the additional complications and services inherent with multiple fetuses.First step: As with any pregnancy with complications, your first step should be to determine what E/M care the ob global package includes and what may be considered above and beyond -- and therefore separately billable from the global.Bottom line: Each insurance carrier generally outlines a specific number of visits that it considers part of the global package, which is usually 12 or 13. If the patient has more than the prescribed number of visits and you have documentation backing up the medical necessity for the extra visits, you should charge these outside the global ob fee.Be sure to link [...]