![]() Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act). The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. Participating providers have signed an agreement to accept assignment for all Medicare-covered services. ![]() Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD. Midwifery is a collaborative practice that involves women, families, midwives, nurses, obstetricians, pediatricians, and other specialists as needed.Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. Your midwife strives to be your partner in care, not just your provider of care. They may provide education, suggest resources, or refer you to additional health care providers if needed. Midwives often spend extra time with you during your appointment, listening to your concerns, and addressing (or treating) problems. ![]() Midwifery honors and respects the wisdom and dignity of all women and the sacredness of pregnancy and birth. Midwives believe that childbearing is normal and that you and your family should create the birth experience that will be meaningful to you. When you decide to visit a midwife, you will receive a special level of care that is not always present in other health care settings. Midwifery care focuses on the promotion of health, development of individual responsibility in health care, and shared decision making. Midwifery care is provided by professionally trained midwives who practice a wellness and holistic approach to pregnancy, birth, and women’s health care. Then, even if the birth doesn’t go as expected, the family feels comfortable with the plan of care, and the midwife continues to be present and supportive during the entire process. In such a situation, since a trusting and respectful relationship has been established between the family and the midwives, a discussion of risks, benefits, and alternatives occurs with ample time for questions. Sometimes, however, pregnancy and birth are unpredictable and intervention may be necessary to ensure the best possible healthy outcome. Women choosing a birth center birth understand that in most cases, minimal medical intervention is safest for both mother and baby, and in fact, support and patience are often all that is needed as she births her baby. These women desire shared decision-making with their provider. Women who choose birth center care are committed to maintaining optimum health and well-being during their pregnancies and birthing naturally. The majority of women are good candidates for a birth center birth.
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