Dayspring
Women’s Health

in partnership with GraceHealth

Clinical Journey of
Obstetric Care

Billing
Information

Clinical Journey of Obstetric Care

  • Pregnancy Test

    Pregnancy Test

    • Could begin as visit for pregnancy screen or with + test at home.
    • Provider discusses initiation of prenatal care with patient.
    • Begin prenatal vitamin, discuss smoking cessation, and review meds.
    • Schedule patient for OB history visit with a nurse.
  • Pregnancy Test

    OB History

    • Completed in most cases as a telehealth visit.
  • Pregnancy Test

    OB Physical

    • May be done concurrently with ultrasound appointment or separate.
    • Includes labs, physical exam, pap smear if indicated, and infection screen.
  • Pregnancy Test

    Dating Ultrasound

    • Ideally obtained in first trimester.

  • Pregnancy Test

    Routine Prenatal Care Visits Approximately Every 4 Weeks until ~28 Weeks

    • 20 weeks: anatomy ultrasound.
    • 24-28 weeks: 1 hour glucose screen.
  • Pregnancy Test

    Routine Visits Q 2 Weeks until ~35 weeks

    • If you choose to deliver somewhere other than Grace, we will need to transfer your care to that practice by 3rd trimester.
    • 32 weeks: Delivery consult and ultrasound at
      Grace Health.
    • 36 weeks: Group B Strep screening.
    • Repeat appointment at Grace Health at around 36 weeks.
  • Pregnancy Test

    Routine Visits Weekly

    • Until Delivery or Until Time of Planned Induction of Labor, Scheduled Surgery, etc.
  • Pregnancy Test

    Delivery

  • Pregnancy Test

    Routine Postpartum Visit ~ 1 Week After Delivery

    • We also want to begin newborn care at this time or sooner if indicated.
  • Pregnancy Test

    Routine Postpartum Visit ~ 6 Weeks After Delivery

    • During postpartum period, we also a full range of contraceptive options if desired

Billing Information

There may be additional fees from Grace related to billing services not mentioned here.

Kentucky Medicaid

• Individual Visits billed
• Ultrasound billed individually
• Postpartum/Acute/non-OB related
visits billed individually

All Commercial Carrier

• Antepartum Package Billing 4-6 visits/7 or more
• Ultrasounds billed individually
• Postpartum/Acute/non-OB related visits billed individually

Medicare

• Individual Visits billed
• Ultrasounds billed individually
• Postpartum/Acute/non-OB related
visits billed individually

Uninsured

• Individual Visits billed
• Ultrasounds billed individually
• Postpartum/Acute/non-OB related visits billed individually
• Sliding scale encouraged