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Florida OB/GYN billing guidelines

Florida Medicaid 2027 maternity billing status: no notice yet. 17 OB/GYN billing guidelines for Florida payers, with the 2027 changes listed first.

● Medicaid 2027: no notice yet

Showing: All payers · Florida

17 Florida guidelines

How to Bill
2027 GLOBAL OB TEXAS

OB/GYN Billing & Coding Alert - How to Bill Antepartum Care for...

When several providers in the same practice see a patient during her pregnancy, the question is whether their visits add...

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Aetna Better Health of Florida
FLORIDA POSTPARTUM AETNA BETTER HEALTH OF FLORIDA

OB/GYN Billing & Coding Alert - Aetna Better Health of Florida...

Aetna Better Health® of Florida has shared updated, agency-adapted guidance for two HEDIS® MY 2026 measures: Prenatal...

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Simply / CHA Multiple Delivery Billing
FLORIDA MATERNITY CARE SIMPLY HEALTHCARE PLANS

OB/GYN Billing & Coding Alert - Simply / CHA Multiple Delivery Billing

Billing for multiple births with Simply Healthcare Plans, Inc. (Simply) and Clear Health Alliance (CHA) follows a...

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Simply Healthcare & Clear Health Alliance 2027 Maternity Policy
FLORIDA ANTEPARTUM CARE MATERNITY CARE

OB/GYN Billing & Coding Alert - Simply Healthcare & Clear Health...

In Florida, Simply Healthcare Plans, Inc. (Simply) covers members through two programs: Statewide Medicaid Managed Care...

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Billing Maternity Care That Spans 2026 and 2027
TEXAS FLORIDA MISSISSIPPI

OB/GYN Billing & Coding Alert - Billing Maternity Care That...

Maternity billing gets more complicated when prenatal care starts in 2026 and continues into 2027.

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FY 2027 OB/GYN ICD-10-CM Updates
TEXAS FLORIDA MISSISSIPPI

OB/GYN Billing & Coding Alert - FY 2027 OB/GYN ICD-10-CM Updates

Effective October 1, 2026, the FY 2027 ICD-10-CM update introduced more specific codes for ectopic pregnancy and...

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CPT 58561: Coding Hysteroscopic Fibroid Removal
GYN SURGERY TEXAS FLORIDA

OB/GYN Billing & Coding Alert - CPT 58561: Coding Hysteroscopic...

Coding fibroid removal requires a close look at the operative report. The report should explain how the surgery was...

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2027 Medicare Physician Fee Schedule
TEXAS FLORIDA MISSISSIPPI

OB/GYN Billing & Coding Alert - 2027 Medicare Physician Fee Schedule

Under the proposal, physicians may receive less payment for office visits performed on the same day as a procedure. It...

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Incident-to Billing
PAYER POLICY TEXAS FLORIDA

OB/GYN Billing & Coding Alert - Incident-to Billing: Navigating...

Incident-to billing lets a practice collect 100% of the Medicare fee schedule for qualifying visits performed by a nurse...

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Understanding IUD Coding
ULTRASOUND MODIFIERS TEXAS

OB/GYN Billing & Coding Alert - Understanding IUD Coding for...

IUD coding is more than an insertion or removal code. One visit can involve contraceptive counseling, device replacement,...

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OBGYN Coding rules
MODIFIERS PAYER POLICY TEXAS

OB/GYN Billing & Coding Alert - OB/GYN Coding Rules for...

Endometriosis surgery is hard to code when more than one site is involved. A surgeon may excise endometriosis from the...

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ICD 10 CM Coding
TEXAS FLORIDA MISSISSIPPI

OB/GYN Billing & Coding Alert - ICD-10-CM Coding for Obesity...

A pregnant patient can have a high BMI and a documented history of obesity, but that does not automatically mean obesity...

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High Risk OB and IVF
TEXAS FLORIDA MISSISSIPPI

OB/GYN Billing & Coding Alert - High-Risk OB and IVF Pregnancy Coding

Pregnancy coding is determined by IVF, donor eggs, gestational carriers, and advanced maternal age, but these factors do...

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OB Incentive Program: Sunshine Health C-Section
MEDICAID PAYER POLICY FLORIDA

OB/GYN Billing & Coding Alert - Sunshine Health Introduces...

The new C-Section Birth Incentive program offered by Sunshine Health allows eligible obstetricians the chance to receive...

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Florida Medicaid OB Claim Denial
MEDICAID PAYER POLICY FLORIDA

OB/GYN Billing & Coding Alert - Common Denial Reasons for...

Denials of Florida Medicaid OB claims are often concentrated around a small number of areas, primarily involving...

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Florida OBGYN Billing Guidelines
MEDICAID PAYER POLICY FLORIDA

OB/GYN Billing & Coding Alert - Florida OBGYN Billing Guidelines

OBGYN billing and coding in Florida work differently from those in many other states. If you’re an OBGYN provider,...

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Florida Medicaid OB Billing and Coding Guidelines
MEDICAID PAYER POLICY FLORIDA

OB/GYN Billing & Coding Alert - Florida Medicaid OB Billing and...

Florida Medicaid reimburses obstetric care in three separate components: Prenatal care (H-codes) - Delivery services...

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