Physician practices who provide OB services often want to know if they can bill separately for the first OB visit, or if it is part of the global package. The short answer is: once you begin the OB service, it is part of the package.
Prior to home pregnancy tests, many patients came in to see if they were pregnant. Then, that first visit to confirm the pregnancy was a separate service. Now, however, most patients know that they are pregnant prior to making the first OB appointment. They are scheduled for the visit as a first OB visit. Once the nurse begins the OB documentation, that visit is included in the payment for the global service.
It would be incorrect to bill a high level E/M service for this visit.
Some state Medicaid programs require you to bill for each visit separately. If so, follow their rules.
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October 1st is just around the corner and that means it’s time for updates to the ICD-10-CM code set. This year there are some interesting changes such as a new headache type, new codes related to TMJ, several new codes for reporting accidents involving micro-mobility devices (e.g., hoverboard), and some other changes.
Be sure and check out this discussion with LaMont Leavitt (CEO of innoviHealth) and Christine Taxin (Adjunct professor at New York University, President of Dental Medical Billing, and Links2Success).
Some of the resources and tools they discuss will help you with your dental coding/billing and education.
Do You Have All the Right ...
The American Medical Association (AMA) recently announced the addition of two more CPT codes in relation to COVID and the Public Health Emergency (PHE). Codes 99702 and 86413 were posted to the AMA website on Tuesday, September 8, 2020 and new guidelines have been added as well.
Every healthcare office needs to know and understand the rules that apply to billing services and supplies. What lessons can we learn from the mistakes of others? What if we have made the same mistake?
Discussion between innoviHealth CEO, LaMont Leavitt and Guest speaker, Christine Taxin who is an Adjunct professor at New York University, and President of Dental Medical Billing and Links2Success about making sure you have all the right Dental resources needed to succeed in Dental Medical Billing and Coding.
The COVID-19 public health emergency (PHE) has created some possible problems when it comes to risk adjustment. Be sure your organization has implemented policies and procedures to try and overcome these new hurdles.