Four steps to correct payment for multiple pregnancies

Why This Topic Matters

Multiple pregnancies often involve more services and different payer handling than routine obstetric care. Understanding the article’s scope helps practices identify where reimbursement, documentation, and code-set update issues may arise.

Article Sections

1. Tip No. 1: Report extra E/M visits when global care concludes

   Discusses how global obstetrical care interacts with additional prenatal evaluation and management services. The section focuses on payer packages and the general concept of tracking visits beyond routine care.

2. Tip No. 2: Track additional tests

   Covers additional monitoring and testing commonly associated with multiple pregnancies. It addresses ultrasound and fetal surveillance billing considerations, documentation, and payer handling at a high level.

3. Tip No. 3: Contact payer before delivery for preferred billing method

   Addresses delivery-time billing issues for twin and higher-order pregnancies. The section discusses communication with payers and the need to understand preferred approaches for claim submission and supporting records.

4. Tip No. 4: Report 59510-22 for multiparity C-sections

   Reviews cesarean-delivery billing issues in the context of multiple births and payer reimbursement concerns. It also introduces a later Medicare screening update tied to abnormal Pap-related ICD-9-CM code changes and timing.