Whether you are out-of-network or in-network, understanding how insurance coverage for lactation works can make a big difference for you and your clients. In this 3-hour course taught by lactation insurance expert Donna Sinnott, BBA, IBCLC, you’ll learn what you need to know to maximize what your clients get reimbursed and what you can get paid for lactation services.
Part 1 is a general, basic understanding of the insurance game, the vocabulary and fee setting required when part of the current healthcare system.
Part 2 is a deeper dive into applying coding for consults to the current documentation requirements. Once you understand the differences in diagnosis, procedure and supply codes, you must decide what codes you will use and how to document them. This lecture discusses the details needed for documenting and coding for the type of consultations an IBCLC provides.
Part 3 offers a guide to moving the documentation, coding and billing into real life scenarios as you set up and navigate a private practice consult. This section also covers website and business building tips in regards to your documentation, consultation and note-taking styles. Finally, this session explains “incident-to” billing, to integrate lactation services with other health care professionals and various practice settings
Instructor Donna Sinnott BBA, IBCLC is the co-author of the Crash Course in Billing, Coding, and Reimbursement for Lactation Consultants, and lectures around the country on insurance for lactation and the Affordable Care Act.