Advanced Search

Ob-Gyn Coding Alert

Reader Question:

Multiple Obs In this Delivery Scenario? Consult Docs To Decide Your Claim

Published on Wed Jun 13, 2012

Question: Have a patient who walked into hospital in the middle of the night and delivered the baby before our ob-gyn could get there. So technically, the delivery nurse was the only one there and delivered placenta. Also, our ob-gyn got there to see patient after delivery. Would our visit be considered a postpartum care visit or rounding in hospital visit? Who can legally can bill for delivery and hospital visit? Another doctor's office saw the patient for all her antepartum visits and wants to bill a global fee. They would then pay us for seeing the patient that night of the delivery. What should we report?Texas SubscriberAnswer: Payers prefer global billing, so if the physician who was her attending of record wants to bill that way and pay you for your services, that would acceptable. The ob-gyn of record, however, would have to add a modifier 52 (Reduced services) to [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Ob-Gyn Coding Alert

View All