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Billing Services for Midwives and Birthing Centers

Midwifery and Birth Center Billing Experts

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Billing Services for Midwives and Birthing Centers

Larsen is the nation’s leading billing company for midwives and birthing centers, with over 600 midwifery accounts served nationwide.

Since 2001, we’ve helped hundreds of midwives and birth centers navigate insurance billing, ensuring they’re properly compensated for their services. Our deep understanding of the midwifery model allows us to educate payers and advocate for your coverage, while our team of experts ensures your billing is set up for success—whether you’re in-network or out-of-network. If you’re unsure which option is right for you, we can guide you to the best decision.

Contact Us for a Free Consultation

Fill out the form below or text us at 801-203-3513.

Fill out the form below or text us
at 801-203-3513.

Patients, please do not use this form. Instead, contact your provider directly.

midwife challenges Billing Services

We Understand Your Unique Challenges

Navigating insurance billing for out-of-hospital births can be challenging, but with Larsen, you’re in expert hands. Common obstacles include:

  • Payers not recognizing your services for reimbursement
  • Errors in demographic or credentialing information affecting claims
  • A shortage of Certified Nurse Midwives (CNMs)
  • Confusion around billing under a group practice
  • Low reimbursement rates
  • Lack of codes for certain services provided
  • Difficulty getting credentialed or contracted with payers
  • Limited billers who understand the nuances of midwifery and birth center billing
  • Questions about insurance vs. patient billing

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How We Help Midwives and Birthing Centers

With over 20 years of experience, Larsen Billing is the premier choice for midwifery and birth center billing. We’ve billed in every state except four and are experts in out-of-network billing and contract negotiations. We ensure your payer information is accurate, so claims go through without a hitch, and we educate your team on all the codes necessary to get paid for the full range of services you provide.

You’ll work with a highly qualified team of billing experts who become an extension of your staff. Our team includes assertive aging specialists focused on working every outstanding claim, patient billing reps who handle inquiries and payment plans, and credentialing experts who ensure your practice is set up and stays current with payers.

We ensure your practice is properly set up with all payers. From credentialing your providers to applying for and negotiating contracts, we handle it all—ensuring your information is accurate and up to date.

We verify maternity benefits and provide detailed reports for both you and your patients. We bill claims accurately, post payments, and aggressively fight denials and underpayments. We also help you collect upfront payments and reconcile accounts after insurance processing.

Our team offers management support to help your practice run smoothly. We understand the unique challenges of midwifery practices and provide training to improve efficiency across your team.

We train your practice on healthcare and security compliance. Our audits help ensure your financial policies are sound and your charts are up to standard, keeping you compliant and avoiding risks.

We conduct training sessions focused on proper documentation, CPT code requirements, and the protocols necessary for supervision and incident-to-billing.

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midwife billing Billing Services

The Benefits of Partnering with Us

Navigating midwifery and birth center billing is complex—but with Larsen, you’ll have a partner who knows exactly what to do. Here’s what we bring to the table:

Specialized Team

We assign a dedicated team of billing experts who integrate seamlessly into your practice and become a trusted extension of your staff.

Clean Claims

Our billing specialists ensure all claims are accurately submitted to avoid delays and rejections.

 

Full Transparency

You’ll have full visibility into every step of the billing process, so you always know the status of your claims.

Aggressive Aging

Our aging specialists focus on every outstanding claim to ensure timely payment. We work tirelessly to get the results you need.

Denials and Appeals

We aggressively fight inappropriate denials and underpaid claims through detailed appeals, ensuring you’re paid correctly for your services.

Patient Collections

We manage patient billing, handle payment plans, and reconcile accounts post-insurance payment, ensuring a smooth and stress-free process.

Excellent Software

Our user-friendly billing software is easy for your entire team to access. We can also work within your existing software system if preferred.

 

Credentialing and Contracting

We manage your credentialing, ensuring your providers are always up to date and handle all your contracting needs.

Clear Communication

We meet with you regularly to discuss workflows, analyze data, and ensure your billing process is working seamlessly.

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Commonly Used Midwife and Birthing Center CPT Codes

CPT® Code Description
54900 Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care
99460 Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant
99463 Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date
99461 Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center
59409 Vaginal delivery only (with or without episiotomy and/or forceps)
59410 Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care
99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter
59425 Antepartum care only; 4-6 visits
59426 Antepartum care only; 7 or more visits
59430 Postpartum care only (separate procedure)