I got this email this morning:
I work in a hospital-based midwifery practice. We are in a freestanding building but located on the hospital campus.The business office in our hospital codes all antenatal services under POS 22 (outpatient hospital) vs. POS 11 (office visit). As a result, our insured patients are getting bills for the new ob visit, ultrasounds, etc(anything not covered under the global fee is being charged as an outpatient hospital visit rather than an office visit). Just wondering if there is anyone out there who can speak to this issue. The business office tells me that they are legally compelled to code with POS 22 and nothing can be done about it. Surely, just because a patient visits a hospital midwife doesn't mean that she is not eligible for her maternity benefits? Any experience, advice, etc would be greatly appreciated.
Since they are in a freestanding building, I think they should be billing with POS 11. Please comment.
~Kelli
Midwife Billing & Business, LLC