Wiki FP/OB transfer care PLEASE HELP

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Lisa Bledsoe

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The multi-specialty group I work for has 4 FP's and 8 OB/GYN's. The FP's will be doing OB care only through the first trimester, at which time the patient will "transfer" to one of our OB's. My question: Can the FP's code E/M visits for the first 3 visits and then the OB's actually code the global? If the FP actually does 4-6 visits, I think they should code 59425...but then what would the OB charge? They are all under the same TIN. Any input or direction to guidelines for this type of situation will be GREATLY appreciated!!
:confused:
 
Maybe Reduced Services for OB practice?

I would suggest billing the OB global delivery charge with a -52 modifier and adjust the price down to reflect what the FPs charged. This would show that you're billing everyone the same global price. So, if you charge $3,000 for 59400, it would look like:

FP 59425 $500
OB 59400-52 $2500 (you will probably have to indicate the number of visits
provided)

There may be a problem since everyone's under the same tax id but they're different specialties so that may not apply. This is just one way this scenario could be handled. If the patient had an extensive amt of visits, I might not add the -52. It would depend on if the ins carrier had specific guidelines on how many visits are included in a global.
There's my 2 cents :) -Sue
 
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