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Comprehensive Billing and Coding for Birth Centers and Midwives
Midwifery Billing and Coding
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TROUBLE SHOOTING PROBLEMS
INSTRUCTIONS, COPYRIGHT, & DISCLAIMER
Introduction
Why is it Important to Understand Billing and Coding? (2:25)
Relationship Between Healthcare Providers, Insurance Companies, and Patients
Key Concepts of Claims Submission and Payment Cycles
Billing and Coding Essentials
Billing Terminology (16:22)
Understanding ICD 10 Codes (10:52)
Understanding CPT Codes (9:41)
Understanding Place of Service Codes (4:06)
Understanding Modifier Codes (3:22)
Insurance Claim Processing
Understanding Insurance Processing Steps
Professional Versus Facility Claims (3:38)
Should You Be in Network, Out of Network, or Cash with Your Midwifery Practice? (5:27)
Ways to Bill Insurance Claims: In House, Outsourced, or EMR Billing System (8:35)
In Network Credentialing Process (3:55)
How to Negotiate with Insurance Companies (5:31)
Understanding Cost of Care
Creating Accurate Fee Schedules (55:53)
Verification of Benefits (7:42)
Estimating Patient Out of Pocket Costs (33:37)
Creating a Superbill for Families (17:15)
Understanding Explanation of Benefits (20:08)
Family Payment Options (13:34)
Midwifery Billable Codes
Maternity Care (30:51)
Transfers During Labor
Commonly Missed Charges for Midwifery Care
Newborn Care (31:13)
Breastfeeding Support (32:32)
Preventative Medicine (29:01)
Mental Health Support (23:12)
Telehealth Visits (34:14)
Point of Care Ultrsaounds (19:32)
Birth Center Facility Fees
Compliance and Legal Issues
Understanding Health Insurance Regulations (53:38)
Health Insurance Portability and Accountability Act (HIPAA)
Ethical Considerations in Medical Billing and Coding
Importance of Accurate Care Documentation (42:57)
Fraud Prevention and Avoiding Audits (4:39)
Importance of Good Financial Processes within a Midwifery Practice (6:53)
Yearly Coding Changes
2021 Billing and Coding Changes
2022 Billing and Coding Changes
2023 Billing and Coding Changes
2024 Billing and Coding Changes
Conclusion
Key Points to Take Away (2:05)
Recommended Resources
Evaluation
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Relationship Between Healthcare Providers, Insurance Companies, and Patients
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