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Unbundling is Coming: Making Sense of New Perinatal Billing and Coding for Midwives

Course Description
The transition from global maternity billing to unbundled maternal care coding represents a significant change in reimbursement, documentation, and workflow for midwifery practice. Recent changes to the American Medical Association (AMA) Current Procedural Terminology (CPT) Code Set adopted by Centers for Medicare and Medicaid Services (CMS) require clinicians to report antepartum, intrapartum, birth, and postpartum services separately rather than relying on traditional global OB package codes. This activity prepares midwives to apply new coding requirements across the continuum of care. Participants will learn the appropriate codes for prenatal, postpartum, and other outpatient visits; antenatal hospital admission; birth; and inpatient and outpatient postpartum care through case-based examples and coding scenarios. Attendees will also learn to distinguish straightforward and complex labor management in order to bill intrapartum care. Content will emphasize practical application for CNMs and CMs working in midwifery-led care practices or other models of care that include physicians or multi-disciplinary teams.

THIS EVENT HAS BEEN RESCHEDULED TO SEPTEMBER 17
Learning Objectives

At the conclusion of this session, participants will be able to:

  1. Describe the rationale for the transition from global maternity billing to unbundled obstetric coding and its implications for midwifery practice.
  2. Select appropriate antepartum outpatient E/M codes based on medical decision-making and time requirements for prenatal care visits.
  3. Differentiate between straightforward and complex labor management and assign the appropriate intrapartum CPT codes for each calendar day of labor care.
  4. Apply correct coding for birth and postpartum care.
  5. Implement documentation practices that support compliant coding, reimbursement, and collaboration across multiple providers and care settings.
Speakers

Katie Page, CNM, MSN, FACNM  (facilitator – ACNM)


Jessica Anderson, DNP, CNM, WHNP, FACNM (panelist)


Leslie Cornwell, CNM (panelist)
CEs Offered: 1 CE

Course expiration: