Hello,
I work for a large Ob-Gyn practice and we were looking to see how other large practices handle billing Medicaid antepartum, delivery, and postpartum care.
For example:
We have a patient who we provided antepartum care by various providers of the same group, delivery, and postpartum care. We bill antepartum visits with E/M (Eg. 99213), delivery with delivery only code (Eg. 59409) and inpatient postpartum care with subsequent code (Eg. 99231-99238), and 6 week postpartum check-up (Eg. 99213).
We receive payment for all antepartum care and delivery, but receive denials for subsequent inpatient care and the 6 week postpartum check-up. This seems to be based on payers like OH Medicaid and Buckeye.
Do you see scenarios like this? Do you have any insight on billing antepartum care with E/M (Eg. 99213), delivery and postpartum care with delivery and postpartum only code (Eg. 59410)? Or even billing antepartum care with E/M (Eg. 99213), delivery with delivery only code (Eg. 59409), and postpartum care with postpartum only code (Eg. 59430)?
I work for a large Ob-Gyn practice and we were looking to see how other large practices handle billing Medicaid antepartum, delivery, and postpartum care.
For example:
We have a patient who we provided antepartum care by various providers of the same group, delivery, and postpartum care. We bill antepartum visits with E/M (Eg. 99213), delivery with delivery only code (Eg. 59409) and inpatient postpartum care with subsequent code (Eg. 99231-99238), and 6 week postpartum check-up (Eg. 99213).
We receive payment for all antepartum care and delivery, but receive denials for subsequent inpatient care and the 6 week postpartum check-up. This seems to be based on payers like OH Medicaid and Buckeye.
Do you see scenarios like this? Do you have any insight on billing antepartum care with E/M (Eg. 99213), delivery and postpartum care with delivery and postpartum only code (Eg. 59410)? Or even billing antepartum care with E/M (Eg. 99213), delivery with delivery only code (Eg. 59409), and postpartum care with postpartum only code (Eg. 59430)?