Appendix 6 - Rounding Guidelines for Prental Care Coordination Services - Text Only Version for the Prenatal Care Coordination Services Handbook, Wisconsin Medicaid

Prenatal Care Coordination Services Handbook
Appendix 6

Rounding Guidelines for Prenatal Care Coordination Services

Time units are calculated based on rounding accumulated hours of service for the month to the nearest tenth of an hour.

The following chart illustrates the rules of rounding and gives the appropriate billing unit:

Accumulated Time (in Minutes)	Unit(s) Billed
1 - 6	.1
7 - 12	.2
13 - 18	.3
19 - 24	.4
25 - 30	.5
31 - 36	.6
37 - 42	.7
43 - 48	.8
49 - 54	.9
55 - 60	1.0
etc.

A unit of service (1.0) for ongoing care coordination and monitoring services (W7092) is one hour. Use the chart above to determine the appropriate unit when billing for a fraction of an hour. For example, bill 1.8 units to represent 1 hour and 48 minutes of ongoing care coordination services.

Do not use these guidelines when billing for procedure codes W7090 (risk assessment) or W7091 (care plan development). Always enter "1.0" unit for these procedure codes. Wisconsin Medicaid does not reimburse these procedure codes by the hour.

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Prenatal Care Coordination Services Handbook Appendix 6

Rounding Guidelines for Prenatal Care Coordination Services

Wisconsin Medicaid Handbook list Wisconsin Department of Health and Family Services Wisconsin Medicaid and BadgerCare

Prenatal Care Coordination Services Handbook
Appendix 6

Wisconsin Medicaid Handbook list
Wisconsin Department of Health and Family Services
Wisconsin Medicaid and BadgerCare