Birth Center Medical Billing Services for Natural Birth Facilities & Midwifery Practices in the USA
Midwifery and birth center billing services for natural birth facilities.
Specialty highlight
99%
Built around payer rules, documentation requirements, and coding nuances.
Global OB Accuracy
99%
Clean Claim Rate
96%
Birth Center Billing Services for Global OB Packages, Midwifery Care & Facility Fee Coding
Birth center billing involves managing the global maternity care for low-risk pregnancies, provided by Certified Nurse-Midwives (CNMs) or other midwives in a homelike, out-of-hospital setting. Our birth center billing service is designed to handle the unique aspects of this model, from global obstetrical packages to facility fees for the birth center itself, ensuring accurate reimbursement for all prenatal, delivery, and postpartum care.
Global OB Package Billing for Midwifery Care
Complete global obstetrical package billing (59400, 59610) for CNM-provided care, tracking all antepartum visits, delivery, and postpartum care within the global episode to prevent split-billing errors.
Birth Center Facility Fee Billing
Accurate facility fee billing on UB-04 claim forms for birth center delivery room use, nursing services, and supplies, with correct revenue codes (0720) and procedure codes aligned to the delivery type performed.
CNM Credentialing & Payer Enrollment
Complete credentialing and payer enrollment for Certified Nurse-Midwives with all major commercial payers, Medicaid, and Medicare, ensuring CNMs are contracted and enrolled before billing begins.
Newborn Care & Circumcision Billing
Precise newborn care billing (99460-99463) in the birth center setting, including initial newborn examination, circumcision (54150, 54160), hearing screening, and metabolic testing charge capture for every delivery.
Birth Center Billing Challenges That Reduce Midwifery Revenue
Birth centers face unique billing challenges combining midwifery professional claims, facility fee billing, and CNM credentialing requirements. These are the barriers our team systematically removes.
- Managing global obstetrical packages for midwifery care.
- Billing for facility fees for birth center services (delivery room, supplies).
- Accurately coding for vaginal deliveries (59400, 59409, 59410) performed by midwives.
- Ensuring proper credentialing and contracting for CNMs with all payers.
- Navigating state-specific regulations and payer policies for birth center coverage.
- Certified birth center and midwifery coders with expertise in obstetrical coding.
- Precise coding for global obstetrical packages for midwifery care (59400, 59610).
- Expertise in billing for the technical or facility component of a birth center delivery.
- Meticulous management of the global package, tracking all prenatal, delivery, and postpartum visits.
- Proactive credentialing and enrollment for CNMs and birth centers with all payers.
- Detailed support for newborn care and circumcision billing within the birth center.
How We Maximize Revenue for Birth Centers & CNM Practices
Our birth center billing workflow covers both professional and facility claims, CNM credentialing, global OB package tracking, and newborn care billing in the out-of-hospital birth setting.
Global OB Package Billing for CNMs
Complete global obstetrical package billing (59400 vaginal, 59510 C-section) for CNM-provided care with full antepartum-delivery-postpartum tracking, ensuring no component is split-billed outside the global episode.
Birth Center Facility Fee Billing (UB-04)
Accurate facility fee billing on UB-04 claim forms using correct revenue codes (0720 for delivery room, 0730 for nursery) and corresponding procedure codes to capture all birth center facility charges for each delivery.
CNM Payer Credentialing & Enrollment
Complete CNM credentialing and payer enrollment with commercial insurance, Medicaid, and Medicare, including NPI management, CAQH profile maintenance, and contract negotiation support for new birth center providers.
Antepartum & Postpartum Care Separation Billing
Precise split-billing for antepartum-only care (59425, 59426) when delivery is at a different facility, delivery-only billing (59409, 59610), and postpartum-only services with correct split-episode documentation.
Newborn Care & Birth Service Charge Capture
Complete newborn care billing (99460-99463), circumcision (54150, 54160), hearing screening, and metabolic testing billing for every birth center delivery, ensuring no post-delivery service is missed.
Birth Center Medical Billing Coding Challenges & Solutions
From global OB package management to birth center facility UB-04 revenue code billing, these are the precision coding areas that determine birth center reimbursement.
- Global OB coding using the appropriate code based on delivery type and provider.
- Separate billing for facility (birth center) and professional (midwife) fees.
- Coding for delivery only (59409) vs. delivery with postpartum care (59410).
- Billing for care provided by both a midwife and a consulting physician.
Incorrect coding of global OB packages (e.g., billing for prenatal visits separately).
Bundling of facility and professional fees incorrectly.
Credentialing issues with CNMs.
Lack of prior authorization for birth center services (if required).
Coding for newborn services not covered under mother's plan.
CPT & ICD-10 Codes for Freestanding Birth Center and CNM Billing
Our birth center billing team is trained across the complete CNM obstetrical, newborn care, and birth center facility billing code sets used in out-of-hospital birth settings.
CPT
59400 (Vaginal Delivery, Global), 59409 (Vaginal Delivery Only), 59410 (Delivery with Postpartum), 59425 (Antepartum Care, 4-6 visits), 99460 (Newborn Care)
ICD-10
O80 (Encounter for Full-Term Delivery), Z34.90 (Normal Pregnancy), Z38.00 (Single Liveborn), O60.10 (Preterm Labor)
Frequently Asked Questions
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Connect specialty-specific billing needs with the core MI MedCare services that keep claims accurate, compliant, and moving.
Medical Billing
End-to-end medical billing services that improve claim acceptance and accelerate reimbursements.
Revenue Cycle Management
Complete RCM solutions covering patient intake, billing, payments, and financial reporting.
Medical Coding
Certified coders ensure accurate ICD-10, CPT, and HCPCS coding for compliant claims.
Credentialing
Provider credentialing and payer enrollment to get your practice contracted faster.
Eligibility Verification
Insurance eligibility and benefits verification before services are delivered.
Denial Management
Identify denial causes, correct errors, and recover lost revenue efficiently.