» Consulting
We offer consulting services to midwifery practices and birth centers who keep their billing in-house. Our many years of combined experience in midwifery and facility billing are invaluable! We believe our information, when shared with your practice, will be the pivotal key for you to maximize your own reimbursements.
Learn Proper Procedures
Increase your cash flow by learning how to correctly bill and receive reimbursement for:
- Global Fee
- Prenatal visits outside the normal schedule
- Rhogam and other injections
- Pap collection
- Fetal non-stress test
- Supplies
- Tub rental
- False labor
- Prolonged labor management in addition to the global fee
- Labor management before transport to the hospital
- Labor management in the hospital
- Immediate prolonged postpartum care
- IV therapy, injections, and drugs
- Oxygen therapy
- Catheterization
- Postpartum visits that should not be considered part of global fee
- Birth assistance
- Newborn exam at birth and follow-up visits
- Newborn resuscitation
- Newborn screen
- All well-woman care (visits, family planning services, supplies, etc.)
- Maternal facility fees
- Newborn facility fees
One-on-One Training Sessions
Our one-on-one training sessions are tailored to fit your needs. Whether you are a new or an established practice, with staff members or solo, training is centered on your personal needs. Contact the consulting team to begin customizing a training course that will fit your needs. Here are a few topic suggestions:
- How to file the CMS-1500 claim form
- How to file the UB-04 claim form
- Basics of filing electronic claims versus paper
- Verifying benefits – what questions to ask, how to avoid raising red flags
- Obtaining authorizations
- In-network exceptions – how to set them up, which companies to avoid if the care is for a homebirth
- Aging – how to follow-up, how to push for claims to be reprocessed, when to ask for a supervisor, etc.
- Appeals – how to determine when it is worth it to file an appeal and when it is better to let it go
- Insured appeals – how to teach your moms to fight for coverage through their HR department (appeal template included)
- Midwifery billing – general guidelines, how to properly code and bill for all the care a midwife does
- Global billing versus unbundling – when the global fee is appropriate and when it is not
- How to utilize every code on our superbill and/or yours
- How to choose the appropriate level of office/home visit, how to ensure proper charting to support those code levels
- Facility billing – how to get reimbursed for mom’s facility fee, options for companies who want certain forms, how to bill for a birth center stay for more than one date of service, how to bill for baby’s facility fee
- How to bill for homebirth and get reimbursed by companies which do not cover
- Financial Agreement – what should be covered
- Initial presentation to client; collecting an upfront deposit
- How much to charge upfront from clients with insurance versus clients without insurance
- How to calculate refunds by considering how much the client prepaid, how much insurance paid, how much was applied to co-insurance and deductible
- How to bill Medicaid
We Provide the Resources
We also offer the following customized forms and documents, as needed:
Forms
- Client Registration Form
- Verification of Benefits Form
- Test-Claim Superbill
- OB Superbill
- Follow-Up Superbill
- Gyn Superbill
Documents
- More than 10 appeal templates for various denial scenarios
- Pre-determination of benefits letters (homebirth and birth center)
- In-network exception request letters (homebirth and birth center)
- Sample Financial Agreement: for insured and non-insured clients
- Cash Pay Versus Insurance Bulletin
- Attorney letter (handy tool when needed)
- Tricare Information Sheet (latest information about billing Tricare)
- Notice of Privacy Practices (HIPAA)
- Diagnosis Code List
Once the training sessions are over, we will continue the relationship by lending support as you implement the new tools and resources given you through your training. We know questions may come up, or maybe you just want to share a success story with us. Either way, we are here as a resource for you as you work to build your practice.
For a customized consulting quote, please contact the consulting team »
Seminars
Do you have a group of midwives you feel could benefit from learning more about any of the above listed topics? Well, we are here for you. Backed by many years of midwife billing experience, we can help institutions and organizations instruct others regarding these topics. We have experience in speaking at state midwifery conferences and to college classes of student-midwives. We would be happy to team up with you as well.
Kind Words About Our Training
“I was recently hired by a thriving birth center in San Antonio to manage the filing of their medical insurance claims. My past experience with medical billing was with Oral Surgery so I needed assistance understanding the intricacies of midwifery billing. I contacted Larsen Billing Service to inquire about their consulting services.
Christine set up several training sessions with me where she went over everything from basic terminology that I may encounter to the implications of billing special circumstances such as labor management before hospital transport. After each session, I was very thankful that company management had given me the opportunity for this specialized training. Instead of having to research each situation or proceed by “coding trial and error,” I had access to Larsen’s years of experience with midwifery billing. Christine even offered to review my initial claims to ensure that I had coded them properly.
This training was extremely helpful to me. What impressed me most was Christine’s patience and attitude towards helping me succeed. She welcomed my continual questions and I still feel as if I can contact her as new situations present themselves.
I would highly recommend this service to any medical biller who will be dealing specifically with midwifery claims.”
— Gloria K. Insurance Coordinator for San Antonio Birth Center