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If you reviewed the "breakdown", you know the visits are 8-1 or 12-1. Most families do not need 3 or 4 visits during the prenatal stage. However, the visits can be altered to accommodate a families need.
How do I breakdown the visits? To make it easier I package Medicaid visits a certain way and explain to families why. I use more visits in the postpartum stage as I often get families who need more help after baby than before baby is born. Here is my breakdown:
Standard Care
Consultation (45 minutes) - this is billed once a family books me.
1st prenatal (1 hour 30 minutes) - review birth plan, postpartum plan and other important information.
2nd prenatal (1 hour) - verbal childbirth education; other half sent via email prior to visit to review and discuss.
3rd prenatal (30 minutes - not billed) - in home visit for assessment and or to meet other family members.
Labor/Delivery attendance
1st postpartum (within 24 - 48 hours after discharge, or in-home birth)
2nd, 3rd and 4th are scheduled depending on the family needs.
Enhanced Care (aged 19 or younger)
Consultation (45 minutes) - this is billed once a family books me.
1st prenatal (1 hour 30 minutes) - review birth plan, postpartum plan and other important information.
2nd prenatal (1 hour) - verbal childbirth education; other half sent via email prior to visit to review and discuss.
3rd prenatal (30 minutes - not billed) - in home visit for assessment and or to meet other family members.
Labor/Delivery attendance
1st postpartum (within 24 - 48 hours after discharge, or in-home birth)
2nd, 3rd, 4th, 5th and 6th are scheduled depending on the family needs.
If a birthing person is high-risk, I will try to advocate and bill for enhanced care to allow for an additional postpartum visit. If the birthing person is high-risk this must be medically documented by a licensed professional in order to support the reason for enhanced care.