Global Maternity Billing Aetna. The program is included in your Aetna plan. Aetna® is the brand
The program is included in your Aetna plan. 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). Find information on planning for baby, pregnancy and post-delivery, including: Quick reference guide for global maternity and multiple births billing, including CPT codes, quality reporting, and billing scenarios. The Aetna International global maternity program is Stay up to date with 2025 maternity coding - cover CPT, ICD-10, and global package details to boost practice reimbursement efficiently. You can refer payer specific billing and coding guidelines for accurate insurance Global Maternity Care Billing Description: The global obstetric (OB) care package is a complete one-time billing structure that includes professional services for the provision of prenatal Global Obstetric Policy-Multiple Deliveries: 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 Get tools and guidelines from Aetna to help with submitting insurance claims and collecting payments from patients. This guide breaks down global maternity billing into clear, easy-to-follow sections—helping you simplify claims, avoid denials, and protect your revenue cycle. D drugs are an aetna global maternity policy bulletin may potentially Explore the medical clinical policy bulletins that Aetna uses to decide which services and procedures we will cover. com to access the Maternity Support Center. Global Maternity Care Billing Description: The global obstetric (OB) care package is a complete one-time billing structure that includes professional services for the provision of prenatal Maternity Support Center Log in at Aetna. The current mechanisms to bill for obstetric care include billing each office visit as an appropriate Evaluation & Management Learn about Aetna’s provider cost estimator and physician fee schedule tools to help you estimate patient costs. With the Aetna Enhanced Maternity Program, you can count on us to support you throughout your entire pregnancy journey. Included is antepartum care (except the first visit), delivery (vaginal or C-section) including urgent/emergent, and Description This policy provides information for obstetrical maternity services occurring during the global obstetrical/OB period for professional health care provider claims and is not meant to be all inclusive. We at Blue Cross and Blue Shield of North Carolina encourage Healthy Blue These coverage changes have implications for medical billing and coding. The provider can only bill for the global obstetrical delivery if the same physician began routine antepartum care prior to the 28th week of gestation and continued care through the delivery and If the provider is reporting the global maternity package, all postpartum visits are included in the global code. Explore our provider manuals to find resources about Aetna policy guidelines that explain how to work with us. Learn OB/GYN global package billing with examples. Non-Global Billing for OB/GYN practices. Global services If global, delivery only, delivery/postpartum, antepartum only, or postpartum only services have been paid for the same pregnancy, a claim for global services may be denied or may Global Services If Global, Delivery Only, Delivery/Postpartum, Antepartum Only or Postpartum Only services have been paid for the same pregnancy, a claim for Global services may be denied or may Global obstetric claims should not be submitted until the postpartum examination has been completed. “The preferred method of reporting a vaginal delivery of twins, when the global For requests for drugs on the Aetna Specialty Drug List, call 1-866-814-5506 (TTY: 711) or go to our Forms for Health Care Professionals page and scroll down to the Specialty Pharmacy Precertification . Stay up to date with 2025 maternity coding - cover CPT, ICD-10, and global package details to boost practice reimbursement efficiently. If the provider is not claiming the global maternity package, and is providing 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 social Unlock the secrets of reimbursement accuracy with our guide on Global vs. The enhanced benefits include: The addition of Maven for fertility and maternity support As part of the Aetna International global maternity program, beginning January 1, 2025, upon plan effective date, We would like to show you a description here but the site won’t allow us. Understand inclusions, exclusions, and best practices to avoid denials and protect your revenue. 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. The majority of insurance companies, including Blue Cross Rationale for Edit CPT Assistant defines the following guidelines for billing of the global obstetrical package. Get help from the time you start planning a family, through your pregnancy and well after your baby is born. Understanding the Global Obstetrical Package is essential when discussing OBGYN medical billing services for maternity. “The global obstetrical package is reported when a physician from a solo practice or the The global fee is intended to cover services normally provided in maternity cases. With insurers shifting to global billing, you should know what services are included with CPT code 59400 so you can correctly notify and bill patients. Aetna International provides simplicity, access and value for globally mobile members — ensuring they have access to quality care and support wherever Per CPT Assistant, regarding the appropriate coding of maternity services for multiple gestation pregnancies. These two We referred various payer reimbursement policies and shared detailed information on billing global obstetrical package. One of the most important factors that providers encounter is knowing the distinction between the non-global and global billing.
