GLOBAL MATERNITY TIPS- A SIX PART SERIES (PART 2)

PART 2- UNITED HEALTH CARE

Global maternity care for UnitedHealthcare is referred to as “Obstetrical Services Policy”.  This includes prenatal visits (up to 3 in addition to the global package), admission to labor and delivery, management of labor including fetal monitoring, delivery, cerclage removal, and uncomplicated postpartum care.

SPLIT BILLING FOR UHC
There are several circumstances that may require you to bill delivery, antepartum, and postpartum separate:

  • If the member transfers into or out of a physician or group practice
  • If the member is referred to another physician during her pregnancy
  • If the pregnancy does not result in delivery.
  • If another provider in a different practice assumes care of the member prior to completion of global services.
  • If the member changes insurers during pregnancy

THINGS TO REMEMBER:

  • When billing for antepartum care only utilizing 59425 or 59426, count all visits the patient was seen for by the rendering provider.
  • Choose the appropriate code, bill as “1” unit with a date span.
  • The beginning date should be the first OB visit, the end date of your claim should be the last OB visit.