1. { OB Documentation and Coding Brian Elkins, M.D. Modified by Brittany Wyger, M.D. (PGY-III)

2. Change to OB navigator - this is under “helper navigators” drop down

3. Create a Pregnancy Episode at 1 st visit and link episodes at every subsequent visit

4. Link each visit to the episode

5. Initial charting

6. Initial Charting

7. Initial visit charting

8. Order prenatal labs

9. Charting in subsequent visits Use OB templates for notes

10. Running an episode report

12. Billing correctly

13. Pregnancy Diagnosis Codes: V22.0 Supervision of normal first pregancy V22.1 Supervision of other normal pregnancy 654.20 Previous C-Section 643.00 Mild hyperemesis gravidarum Medicaid Billing: Bill each antepartum visit with LOS and “TH” modifier (99213 + TH) The initial prenatal visit is coded as a new patient, even if not new to our clinic (99203) Private Insurance Billing: The first 3 visits billed with LOS (no TH modifier) Subsequent prenatal visits go under a global fee, use LOS with “NC” modifier, the global fee will be billed after delivery (faculty does this)