This is my first time here so I hope I'm doing this correctly. I'm an OB nurse that somehow adopted the Price File in our L&D dept. In the past, we charged all of our triage visits as ED Level Fees (rev. code 450). This could be treatment for preterm labor, hyperemesis, false labor, etc. -- basically any pregnant woman that showed up for any reason. Now the insurance companies are considering all of the visits as emergencies due to the rev code, and will only cover a portion (with a copay) instead of including them in the global fee --which has caused some major complaints. The Reimbursement dept has said we need to start charging an hourly observation charge, but this will leave off a significant number of procedures that use alot of nursing time, especially if we're treating a sick patient. Does anyone have any info on this, or any good resources for obstetric facility charges? I really am lost.