Join Date: Jan 2006
Location: the land of sleep deprivation
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It's true that even though you may hear one thing over the phone, when it comes down to it it's all about the coding! Most of the hb mw's in our area use the same insurance biller, who knows how to "tweak" the codes to get maximum reimbursement (for example, my ins. co. covers 95% of prenatal care BY MIDWIVES so most of my claim will be coded accordingly). They also have a lot of success just using a "global obstetrics code" (which to my understanding doesn't specify where the birth took place, just who attended it).