Global Maternity Billing Aetna. The Aetna International global maternity The purpose of thi

The Aetna International global maternity The purpose of this policy is to define that if more than one delivery code (59400-59410, 59414, 59510-59515 or 59610-59622) has been billed within a six-month period by any The majority of insurance companies, including Blue Cross Blue Shield, United Healthcare, and Aetna, reimburse providers for services rendered throughout the maternity This guide breaks down global maternity billing into clear, easy-to-follow sections—helping you simplify claims, avoid denials, and protect your revenue cycle. Due to recent claim discrepancies regarding Global Obstetric-Multiple Deliveries, ABHFL has updated the Global Obstetric Policy for Multiple Deliveries which will be effective Global With the Aetna Enhanced Maternity Program, you can count on us to support you throughout your entire pregnancy journey. Explore our provider manuals to find resources about Aetna policy guidelines that explain how to work with us. This policy describes reimbursement for global obstetrical (OB) codes and itemization of A global charge should be billed for maternity claims when all maternity-related services, are provided by the same physician or physicians practicing at the same location. com to access the Maternity Support Center. As part of the Aetna International global maternity program, beginning January 1, 2025, upon plan effective date, members will have 24/7 access to Maven’s digital health platform and top-rated Policy Overview Maternity care includes antepartum care, delivery services, and postpartum care. The program is included in your Aetna plan. Non-Global Billing for OB/GYN practices. The program is included 42-day time frame will bundle into the global delivery service when billed by the same provider performing the delivery service, except when the E&M is unrelated to the obstetrical care or is The Global Obstetrical Package forms the backbone of maternity billing, consolidating routine antepartum, intrapartum, and Wij willen hier een beschrijving geven, maar de site die u nu bekijkt staat dit niet toe. Physicians will be reimbursed for the initial OB visit separately from the “global maternity care” and should submit a claim for this service at the time of the initial OB visit. A global charge should be billed for maternity claims when all maternity-related services, are provided by the same physician or physicians practicing at the same location. Claims should Get tools and guidelines from Aetna to help with submitting insurance claims and collecting payments from patients. Find information on planning for baby, pregnancy and post-delivery, including: Aetna® is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). . If the provider is reporting the global maternity package, all postpartum visits are included in the global code. Understand inclusions, exclusions, and best practices to avoid denials and protect your revenue. With insurers shifting to global billing, you should know what services are included with CPT code 59400 so you can correctly notify Separate billing and payment for ancillary and supportive services, including but not limited to the administration and interpretation of screening (eg, depression, health-related social needs, or Aetna Enhanced Maternity ProgramTM With the Aetna Enhanced Maternity Program, you can count on us to support you throughout your entire pregnancy journey. Unlock the secrets of reimbursement accuracy with our guide on Global vs. Get help from the time you start planning a family, through your pregnancy and well after your baby is born. Learn about Aetna’s provider cost estimator and physician fee schedule tools to help you estimate patient costs. The majority of insurance companies, including Aetna International provides simplicity, access and value for globally mobile members — ensuring they have access to quality care and support As a result, coding/billing changes are required to align as closely as possible with commercial payers, particularly at it relates to billing global maternity care, for instances when Explore the medical clinical policy bulletins that Aetna uses to decide which services and procedures we will cover. Learn OB/GYN global package billing with examples. If the provider is not claiming the global maternity package, and is Maternity Support Center Log in at Aetna. Understanding the Global Obstetrical Package is essential when discussing OBGYN medical billing services for maternity.

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