Found a book that may help in the insurance battle.

[Emmeline II]

New, this book is $35.00, but hopefully you can find it or the third edition cheeper or request it at the library. It is written for midwives buy clients would probably find it useful also.

Getting Paid: Billing, Coding & Payment for Nurse-Midwifery Services (4th Edition). The Fourth Edition features completely revised coding sections with new data on evaluation and management codes; the very latest Federal guidelines on billing "Incident to the Physician;" and Federal statutes on fraud, kickbacks and safe harbors in midwifery practice. It also features a new section on the claims process.

http://acnm.stores.yahoo.net/getpaidbilco.html

[twogreencars]

Thanks! Have you seen this book? Has anyone seen it? Would it help someone (like me) who has an HMO and an out of network MW??

[Emmeline II]

This is where I found the book:

http://www.midwifeinfo.com/content/view/114/30/

Maybe you could check at the midwives board if they have used/read the book. I just came across the book while looking for something else.

[pamamidwife]

I don't think the book can help petitioning an insurance company to cover someone not on your plan.