Why Doula and Midwife Billing Services Require Expert Management
The reimbursement landscape for doula and midwifery services is undergoing significant changes. After many states have introduced new Medicaid coverage and private insurers have started to recognize the services more fully, the possibilities for payment have become more open. Getting credentialed with state Medicaid programs, proving medical necessity, and using the correct billing codes for prenatal, intrapartum, and postpartum care (CPT 59400, 59425, 59426; HCPCS S9442, S9443) can be a complicated, time-consuming process. There are still some practitioners who spend hours on paperwork while patient care is left aside. By ensuring proper coding and documentation for perinatal support, Billing Care Solutions facilitates the revenue process and makes sure that you receive the right payment for the care that is indispensable to your patients.
Our Expertise in Doula and Midwife Billing
- ✔Comprehensive Billing Knowledge: Expertise in coding for doula and midwife services, utilizing CPT, ICD-10, and HCPCS codes effectively.
- ✔Payer Policy Expertise: Extensive understanding of Medicaid, Medicare, and private insurance guidelines to ensure compliance and accurate billing for maternity care.
- ✔Revenue Cycle Management: Proficient in implementing strategies to enhance cash flow, reduce denials, and maximize reimbursements for doula and midwife services.
- ✔Detailed Documentation Skills: Emphasis on maintaining accurate and thorough documentation to support claims and facilitate smooth billing processes.
- ✔Training and Support Services: Offering training for healthcare providers on billing best practices, coding updates, and documentation requirements specific to doula and midwife services.
- ✔Claims Management Solutions: Specialized in managing the entire claims process from submission to follow-up, ensuring timely reimbursement and resolution of issues.
- ✔Data Analysis and Reporting: Utilizing data analytics to identify trends, track performance, and inform strategic decisions for improved financial outcomes.
- ✔Client-Centric Approach: Focusing on building strong relationships with clients to understand their needs and provide tailored billing solutions for doula and midwife practices.
Achieve Better Outcomes with Specialized Doula
and Midwife Billing Services
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Doula and Midwife Billing Services
Our complete billing and practice management system is designed with the unique workflows of doula and midwifery care in mind. Our team knows these are different: support services, global maternity packages, and the documentation standards set by Medicaid and private payers. We ensure you are compliant, take away administrative stress, and improve the accuracy of every claim you file. We are there for you at every step: from credentialing and code selection to authorization support and self-pay arrangements, nothing can be overlooked. Under our supervision, you are free to concentrate on your clients, whereas we take care of the billing that ensures your practice is financially stable and has the capacity for further growth.
Explore More SpecialtiesPayer Credentialing and Enrollment
We guide you through the complex process of enrolling with state Medicaid and private insurers.
Doula Service Billing and Coding
Accurate use of CPT and HCPCS codes for doula support services with all payers.
Midwifery Billing for Global Maternity Care
Expert billing for the full scope of midwifery services, from prenatal to postpartum.
Documentation and Medical Necessity Review
Ensuring your client notes meet the specific requirements for insurance reimbursement.
Private Pay and Sliding Scale Support
Systems and tools to manage self-pay clients and sliding scale fee structures.
Denial Management and Appeals
We proactively fight denials and handle the appeals process to secure your payments.
Why Choose Our
Doula and Midwife
Billing Solutions
Our team handles the billing complexities of doula and midwifery services, ensuring accurate claims, timely reimbursements, and reduced administrative work so you can focus on supporting families.
Delivering Nationwide Support for Doula and Midwife Practices
While we take care of the billing details, concentrate on giving expectant mothers compassionate care. For prenatal, birth, and postpartum services, our team oversees precise coding, claims processing, and revenue monitoring. We lessen administrative stress and assist your practice in maintaining consistent, dependable revenue by optimizing your billing workflow.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Doula and Midwife Billing FAQ's
Initial and routine prenatal care are covered by CPT 99201–99205 and 59400–59410. To get correct reimbursement, documentation should reflect examination of both mother and fetus.
Vaginal or cesarean deliveries are covered by CPT 59400–59515. Accurate claims require documentation of labor, complications, and delivery method.
Maternal follow-ups are recorded with CPT 59430–59436. Proper documentation ensures reimbursement for recovery checks and newborn care.
Yes, HCPCS T1013 refers to labor support and education by a doula. Reimbursement requires proper documentation of the services provided.
ICD-10 O00–O9A covers pregnancy, labor, delivery, and postpartum complications. Accurate coding ensures proper claim reimbursement.
We monitor scheduled maternal and newborn visits, therapy, and screenings, ensuring coding, documentation, and payer compliance for timely reimbursement.
Accurate coding and documentation for all prenatal, delivery, and postpartum services greatly reduce denials and increase overall reimbursement for midwifery and doula practices.
We track follow-up appointments for both mother and infant, ensuring proper coding, documentation, and reimbursement for continuous care.
By using exact CPT/HCPCS/ICD codes, correct documentation, and adhering to payer compliance, we eliminate denials and improve revenue cycle efficiency.
Outsourcing ensures accurate coding, reduces administrative work, minimizes denials, improves revenue, and allows midwives and doulas to focus fully on patient care.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”