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2017-35: Mother & Newborn Claims: Billing Guidelines Update

Date: 08/01/17

Effective November 1, 2017, Louisiana Healthcare Connections will update our claims configuration with regards to the billing of mother and newborn claims.

To avoid claims denials, please remember to bill as follows:

  • Mother and newborn claims must be billed separately.
  • The mother’s claim is to include only the Mother’s Accommodation Revenue Codes and ancillary charges for the mother.
  • The newborn’s claim is to include only the Nursery Revenue Codes (170, 171, 172, 173, 174, 175 and 179) and ancillary charges for the newborn.

NOTE: Please remember to include FL 14 Priority (Type) of Admission Code 4 (Newborn) and FL 15 Point of Origin for Admission Code 5 (born inside the hospital) or 6 (born outside the hospital) on the newborn’s claim.