I have a question regarding OB Billing.....
OB provider provides all OB care (antepartum, delivery and postpartum) to a client and the client switches between managed care plan/FFS coverage throughout their pregnancy. When a provider provides all OB care they should code the OB global codes (59400, 59510 or 59610), but billing gets complicated when the payer changes throughout pregnancy. In my perspective, the provider should code and bill the services to the plan that was active when the services were provided. Rather than billing the OB global code to the payer, that was active on date of delivery.
The question is how should the provider have billed when the payers change during the pregnancy?
Thanks
Willie V. Oregon Medicaid
OB provider provides all OB care (antepartum, delivery and postpartum) to a client and the client switches between managed care plan/FFS coverage throughout their pregnancy. When a provider provides all OB care they should code the OB global codes (59400, 59510 or 59610), but billing gets complicated when the payer changes throughout pregnancy. In my perspective, the provider should code and bill the services to the plan that was active when the services were provided. Rather than billing the OB global code to the payer, that was active on date of delivery.
The question is how should the provider have billed when the payers change during the pregnancy?
Thanks
Willie V. Oregon Medicaid