Birth Center and Midwife Billing Services to Maximize Returns
From prenatal visits to postpartum care, we handle the billing of each procedure for midwives. Our birth center billing services, include:
- Expertise in billing for natural births, water births, and home births
- Compliance-driven claims for ultrasounds, lab work, and newborn care
- Accurate coding for prenatal, labor and postpartum procedures
- Reduced denials with payer-specific prior authorizations
- Transparent pricing with maximum reimbursement support
What Problems Do Birth Centers and Midwives Face During Billing?
In midwifery billing, several common problems cause revenue leakage and extra administrative burden for birth centers.
Facility vs. Midwife Charge Confusion: In-house billers may fail to separate facility and midwife charges, which leads to underpayments.
Prior Authorization Failures: Missing or late prior authorizations of birth procedures cause claim rejections, so proactive birth center billing is needed.
Newborn and Maternal Claim Errors: Incorrectly combining claims causes denials, so separate billing with accurate identifiers fixes errors.
How Transcure Solves RCM Problems with Their Midwifery Billing Services?
Patient Access and Insurance Verification
Experts verify eligibility, maternity benefits, and global maternity coverage upfront.
Prior Authorizations and Pre-Certification
Secures timely approvals for ultrasounds, lab tests, pain management, and hospital transfers.
Charge Capture and Midwifery Coding
Use accurate codes for prenatal visits, deliveries, postpartum care, and newborn services.
Global Maternity Package Management
Correct billing for bundled prenatal, delivery, and postpartum services, avoiding underpayment.
Claim Submission and Denial Management
Submits clean claims for maternity packages, handles payer rejections, and manages appeals.
AR Recovery and Real-Time Reporting
Provides monthly reconciliations, KPI dashboards, and payer-specific performance reports.
Birth Center Billing Services with Nationwide Reach
Comprehensive Midwife and Birth Center Billing Services for Different Procedures
Transcure’s birth center billing services are designed to manage every aspect of maternity and women’s health billing with precision. Our experts handle maximum reimbursements across a wide range of procedures, including:
Prenatal Care Billing
We manage coding and billing for routine prenatal visits, diagnostic screenings, and maternal health monitoring, ensuring compliance with payer policies.
Labor and Delivery Billing
Our midwifery billing experts handle billing for natural births, water births, home births, and birthing suite services, including facility fees and professional midwife charges.
Postpartum Care Billing
With Transcure, you can enjoy billing for postpartum check-ups, breastfeeding support, and follow-up maternal care, helping providers capture all eligible reimbursements.
Newborn Care Billing
Transcure provides accurate coding for newborn assessments, immunizations, screenings, and wellness visits to ensure smooth claims processing without delays.
Lab and Ultrasound Billing
Our billing services cover ultrasounds, prenatal lab work, genetic testing, and maternal-fetal monitoring to reduce denials through medical necessity documentation.
Cesarean Section Billing
Through our birth center billing services, you get accurate coding, modifier use, and payer compliance for cesarean deliveries.
Expert Handling of Every CPT and ICD-10 Code for Midwifery Billing
Transcure’s birth center billing team is responsible for accurate coding for prenatal, delivery, and postpartum services. We follow payer-specific guidelines and the latest coding updates to reduce denials and maximize reimbursements. Our midwife billing and coding expertise includes, but is not limited to:
59400
- Routine obstetric care, vaginal delivery
59409
- Vaginal delivery only
59510
- Routine obstetric care, like cesarean delivery
59610
- Vaginal delivery after cesarean section
59426
- Antepartum care only (7 or more visits)
Z34.00
- Supervision of normal first pregnancy
Z39.0
- Encounter for examination of mother
Z3A.39
- Malignant neoplasm of bronchus, unspecified
O80
- Encounter for full-term uncomplicated delivery
Compare the Cost Needed to Spend for In-House Birth Center Billing vs. Outsourced Midwife Billing Services
In-House Midwife Billing
The calculations are done for small to medium-sized midwife practices.
Annual Salary: $25000 to $35000
Overhead Cost: $15000 to $25000
Downsides
Not Cost-Efficient
Less Skilled Billers
Lacks Automation
Outsourcing to Transcure
The calculations are done for the practices earning around $100000 per year.
Transcure’s Rate: 5% on average
Total Amount: Approximately $5000
Upsides
Save up to $45000 annually
Team of over 1100 skilled billers
RPA-powered Billing
Trusted by Birth Centers and Midwives Around the Country
Our birth center billing experts handle complex insurance coding, claims processing, and denial management, all while meeting the regulatory compliance standards.
Our Trusted Birth Centers
Our Success in Numbers
Value of claims processed
Accounts Receivable Days
Turn Around Time (TAT)
Customer Retention
Number of Claims Processed
First Pass Clean Claims Rate
Revenue Improvement
Reduction in A/R
Why Do Birth Centers Need to Pick Transcure for Midwife Billing Services?
Our birth center billing services are more than just a midwife billing company. Here’s how we bring measurable value to birth centers and midwives:
We have AAPC-certified coders that specialize in maternity, delivery, and newborn billing with flawless accuracy.
We handle pre-certifications for ultrasounds, diagnostics, and transfers, reducing claim denials and service delays.
Each midwife practice receives a billing manager who understands maternity workflows, state rules, and payer complexities.
Transcure offers percentage-based billing models with no hidden fees, ensuring predictable financial outcomes.
One Fits All EHR Integration for Midwife Billing
Our team masters midwife‑specific modules in the following EHRs to ensure error-free birth center billing and coding.
See What the Top Birth Centers Have to Say About Transcure
Read our partners’ success stories to recognize the worth of our Birth Centers.
Frequently Asked Questions (FAQs)
Is a midwife covered by my insurance?
Yes, most insurance plans cover midwife services, especially when affiliated with accredited birth centers. Coverage may include prenatal visits, labor, postpartum, and newborn care. However, benefits vary by payer and state, so always confirm with your insurance provider for exact midwife billing coverage.
How do midwives charge insurances?
Midwives bill insurance companies using proper CPT and ICD-10 codes for maternity services. Claims may cover global maternity packages or individual visits, depending on the policy. Professional midwifery billing services, like Transcure, ensure accurate coding and compliance with payer guidelines.
What is the CPT code for prenatal services?
CPT codes for prenatal services often fall under maternity care packages, such as 59400 (routine obstetric care). Additional codes may apply for ultrasounds, lab tests, or complications.
Will Medicare cover a midwife?
Yes, Medicare Part B covers certified nurse-midwife services, including prenatal, delivery, and postpartum care. Coverage is typically set at 80% of the approved amount, with patients paying the remainder. Accurate billing and coding are crucial to ensure midwives receive full reimbursements for covered maternity services under Medicare.
How much does Transcure charge for midwifery billing services?
Transcure offers percentage-based pricing for midwife billing services with no hidden costs. Fees are customized based on practice size and claim volume, within the range of 3 to 5%.
