Practice Management

  • 1.  HbA1c insurance coverage

    Posted 11-01-2022 14:43
    Dear all,

    i read in the ACOG PB that we might order HbA1c during pregnancy for pregestational diabetes at a frequency of more than 1 every 3 months..

    Would that be covered by medical insurances?

    Best regards,

    Giovanni Sisti

  • 2.  RE: HbA1c insurance coverage

    Posted 11-02-2022 09:32
    Hi Giovanni,
    I am not aware that payers necessarily limit the frequency of HgbA1C testing though some may do so. ACOG does suggest now checking monthly so an appeal would likely be successful if any particular payer denies the claim if you are following the guideline. SMFM can also help if this surfaces as a problem with multiple payers.

    Fadi BSAT, MD, FAIUM
    Chair, SMFM Practice Management Committee
    Immediate past Chair, SMFM Coding Committee