PART 3- NC MEDICAID
There are several circumstances that may require you to bill delivery, antepartum, and postpartum separate:
- If the member is seen for less than three months
- If the member changes insurers during pregnancy
- If another provider in a different practice assumes care of the member prior to completion of global services.
- If the pregnancy does not result in delivery.
- If the coverage terminates prior to delivery.
THINGS TO REMEMBER:
- When billing for multiple births, you are required to use modifiers -51, -59.
- When a patient is seen by the provider between 1 and 3 visits, the visits should be coded as an E/M service, according to the services that were provided.
Resources & Credits:
Check out our Medical Office Checklist, ICD-11 Delayed, Contacting Reliance Patient Services, Medical Billing Process, Prior Authorizations, Meet the Owners, Global Maternity Part 1, or Global Maternity Part 2 page.