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Starting or Expanding a Billing Company for Out-of-Hospital Midwifery Practices
Starting or Expanding a Billing Company for Out-of-Hospital Midwifery Practices
Will I Receive Email Reminders?
Trouble Shooting Problems
Instructions, Disclaimers, and Copyright
Course Overview
Understanding the Midwifery Market & Service Opportunity
Overview of out-of-hospital midwifery practices in the U.S.
Differences from traditional physician/hospital billing markets*
Key pain points midwives face (11:59)
Designing billing workflows that support midwifery models of care*
Designing Your Billing Service Offerings
Service line options (18:37)
Payment structure options for clients*
Financial Workflows*
Creating transparent contracts and policies for midwife clients*
Implementing Operational Workflows
Intake workflows (37:36)
Claim submission & tracking for global maternity services (16:59)
Refund processing and reconciliation when insurance reimburses (12:38)
Denial management processes (12:06)
Reporting systems to provide clients actionable insights on revenue flow (4:13)
Compliance & Risk Management for Your Business
HIPAA and state-specific regulations***
Document retention and audit readiness (6:16)
Client risk education (21:42)
Insurance compliance (15:11)
Client Acquisition & Relationship Management
Marketing to midwives and birth centers (30:20)
Consultative sales: discovery calls and needs assessment for billing services (28:17)
Onboarding new clients (20:15)
Ongoing client communication (14:24)
Technology & Tools for Midwifery Billing Companies
Choosing billing software compatible with global maternity and facility claims (18:42)
Patient intake and payment processing tools (11:39)
Reporting dashboards for client visibility (14:57)
Workflow automation (12:39)
Integrations with EHRs used by midwives (8:48)
Scaling & Expanding Your Billing Business
Hiring, training, and standardizing staff workflows (17:00)
Expanding service lines (23:23)
Regional vs. national growth considerations (15:23)
Partnering with consultants and professional organizations to grow credibility (8:58)
Metrics for scaling (24:45)
Capstone Project – Launch or Expansion Plan
Creating a comprehensive business plan (11:55)
Making financial business projections (18:28)
Conclusion
Additional Resources
Billing Terminology
Diagnosis Codes (ICD-10)
CPT Codes
POS Codes
Modifier Codes
Refund processing and reconciliation when insurance reimburses
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