Bill for visits when an MFM provider sees patients in a clinic or office staffed by OB Providers
ow to bill for visits when an MFM provider sees patients in a clinic or office typically staffed by OB providers?
Some MFM providers are “contracted” or assigned to see patients in an office or clinic primarily staffed by OB generalist providers. This often occurs in hospital clinics. It could also be because of group practice coverage or to staff certain high risk OB clinic sessions. There are 3 possible ways that this is usually structured for MFM providers:
Option1: Bill directly for your services. The usual E&M services and guidelines would apply. With this option, the MFM billing should include the taxonomy code of MFM (207VM0101X), rather than OB (207V00000X).
Option 2: Be compensated for your time directly by the OB providers with a stipend agreed upon in advance. The generalist OB will in turn bill for the global service.
Option 3: In certain situations, the MFM may function as a generalist OB such as in general practices with low-risk patients, or when supervising residency clinics. In this case, the reimbursement for time and work effort by the MFM will depend on the specific group practice situation.