[IL-CNM] medcaid reimbursement

Lorel Neal, CNM, MSN lmncnm1 at att.net
Fri Oct 14 10:23:39 CDT 2005


Below are the reimbursement, billing under Physician  and  with the IDPA
Healthy Moms/Healthy Kids enhanced reimbursement rate.


59409     NSVD  535.20 + 389.25  =      924.45
59512      VBAC   535.20 +389.25 =     924.45


Lorel Neal, CNM
Mercy Hospital
Chicago, IL

----- Original Message ----- 
From: "Darryn Dunbar" <ddunbarcnm at yahoo.com>
To: <il-cnm at luc.edu>
Sent: Thursday, October 13, 2005 2:59 PM
Subject: Re: [IL-CNM] medcaid reimbursement


> Bethany,
>
> I no longer no the current amount.  Used to be $9??.
> And the only circumstances that change that amount are
> VBAC and C/Section.
>
> It also matters whether you are billing Medicaid
> yourself (if so it is 70% of the MD rate) AND if you
> are billing under/with a physician, if he has the
> Healthy Moms/Healthy Kids enhanced reimbursement
> rates.
>
> Others will likely be of more assistance to you in the
> actual amount.
>
> Good luck,
> Darryn
>
> --- Bethany Golden <bngolden at yahoo.com> wrote:
> > Does anyone know how much medcaid reimburses for a
> > NSVD?  I know it is different depending on
> > circumstances, but  knowing the approximate range
> > would be very helpful. Thank you in advance. Bethany
>
> Darryn W. Dunbar, APN/CNM, MS
> Certified Nurse-Midwife
> Hospitalist and Assistant Director
> Access Community Health Network
> Mount Sinai Hospital and Medical Center
> "Every woman deserves a midwife!"
>
>
>
>
>
>
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