Wiki Ob patient delivered by covering doc

[mconnolly]

My ob's patient delivered when she was away and the covering doctor delivered the baby. What is the "correct" way to bill this? My ob has a special agreement with the covering and wants to bill for the global surgery since she cared for the patient all along. I suggest she bill for antepartum and covering bill for delivery only. Is that correct way to do this?

 

[bonnyr]

If your provider has an arrangement with the covering provider to bill the global and pay him/her a flat rate for the delivery only portion, you can bill that way. Otherwise, she can only bill what she did, A/P 59425 or 59426 and then PP care only, CPT 59530. The person catching the baby gets the lyon's share of the money.

 

[dollster1]

Are insurance companies ok with these "arrangements" between doctors? I thought that whatever is on the medical records is how we should be billing?