Wiki ESO Medicaid Billing for Prenatal Care?

[nsjoholm]

We currently bill a global fee when our Emergency Services only (ESO) medicaid patients deliver. However, another practice in the area charges the patient for the prenatal care as a cash patient and then bills ESO Medicaid for the delivery only. Can anyone tell me which is correct and where to find the supporting documentation?

 

[Bready]

ESO Medicaid Billing for Prenatal Care

Emergency Medicaid covers only the cost of the delivery for pregnant women. The federal definition of emergency medical service includes vaginal or C-section delivery. Prenatal care would fall under regular medicaid coverage or medicaid for pregnant women. I believe the other practice is billing correctly but you could check with your state's medicaid office also.