Ob-Gyn Coding Alert

READER QUESTIONS:

Face This 2-Physician Ob Care Challenge

Question: We are having a dilemma at our hospital. We employ all of our physicians. If Dr. A starts care and sees the patient for all prenatal care and Dr. B delivers,we bill global under Dr. A and give relative value unit (RVU) credit to Dr B. Ive heard talk about switching this to billing global under the physician who delivers -- even if he has not ever seen the patient in the office. Is this the more correct way of billing these situations? Colorado Subscriber Answer: You should check with your payers, because you must follow their guidelines. When billing globally, the attending of record is usually the one who bills, not the delivering physician (unless it is the same physician). This is how you seem to be doing it now and there is no reason to switch. Most payers have no problem with billing under the attending of record, [...]
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