130 GUIDELINES · ALL 50 STATES, DC AND PUERTO RICO · REVIEWED WEEKLY
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Global OB codes retire on January 1, 2027. Each state and payer page shows where that payer stands: final rules, announced, or no notice yet.
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130 guidelines
OB/GYN Billing & Coding Alert - Fixing Biopsy Coding Mistakes
Are you confused as to why having modifiers 22 and 25 prepared is essential? If you’re under the assumption that the...
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OB/GYN Billing & Coding Alert - Reimbursement for Pregnant...
Differentiate between diabetes that exists before pregnancy and gestational diabetes. It is important to understand that...
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OB/GYN Billing & Coding Alert - Are You Using the Most Recent ABN Form?
Question: How can I confirm that I’m using the latest version of the Advanced Beneficiary Notice (ABN) form for patients?...
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OB/GYN Billing & Coding Alert - How to Accurately Code & Report...
Question: What defines a post-term pregnancy in OBGYN coding, and how should it be accurately reported? Answer:...
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OB/GYN Billing & Coding Alert - CPT Code 99000. What should you...
We have numerous patients who self-swab for sexually transmitted infection (STI) testing. One patient was counseled on...
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OB/GYN Billing & Coding Alert - Clarifying IUD Coding. What you...
Understand the reasons why certain payers deny payment for removals. Many coders express frustration with coding...
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OB/GYN Billing & Coding Alert - Pinpoint Which Hysterectomy Code to Use
Around 600,000 hysterectomies are performed each year in the United States, so it's likely that a hysterectomy claim will...
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OB/GYN Billing & Coding Alert - Your Hysterectomy Combo Claims
When faced with two potential coding options, it's important to consider RVUs. When coding hysterectomies last month,...
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OB/GYN Billing & Coding Alert - What’s Included in the Postpartum Exam
When we report global obstetric care, which includes this component, what is the definition of a postpartum examination?
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OB/GYN Billing & Coding Alert - Pitfalls of Starting the Global...
A patient has conducted a home pregnancy test, and your OBGYN confirms the pregnancy. It might seem logical to initiate...
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OB/GYN Billing & Coding Alert - Obstetrics Coding and...
This guide offers a comprehensive overview of coding and documentation practices in obstetrics, emphasizing the...
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OB/GYN Billing & Coding Alert - HEDIS Measure For Initial...
The Healthcare Effectiveness Data and Information Set (HEDIS) Measure for Prenatal and Postpartum Care is vital for...
Read moreMedicaid maternity rules, state by state
Medicaid covers a large share of births in the US, and no two state programs bill maternity the same way. Some pay a global package. Some refuse it entirely. We publish the rules for each state we bill into.
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