GLOBAL MATERNITY TIPS- A SIX PART SERIES (PART 5)

PART 5- ​WHEN & HOW TO SPLIT BILL FOR GLOBAL MATERNITY

Utilize Split Billing When…

  • The patient has a change of insurer during her pregnancy. ​(Change in policy/terminations)
  • The patient has received part of her antenatal care somewhere else.
  • The pregnancy does not result in delivery.
  • The patient transfers her care to another provider.

TEST YOUR KNOWLEDGE


MEDICAL BILLING TIP:

  • Most commercial insurances want a date span on the claim when billing antepartum codes. This means if you bill a 59425 or 59426 your beginning date should be the first date of antepartum care and the ending date should be the last date of care. Be sure to submit your OB flowsheet with the claim to avoid any delay in payment.
  • NC Medicaid does NOT want a date span when billing antepartum codes. This means if you bill a 59425 or 59426 your beginning date should be the last date of antepartum care and your ending date will be the same. But you must enter the first date of antepartum care in the “same or similar illness date” (BOX  14 ON CMS1500).