--- title: 2027 OB Readiness Review | NatRevMD description: A free 2027 OB Readiness Review for OB/GYN practices. Send us a few numbers and Dr. Heather Signorelli sends back a short written readout of what to fix before January 1, 2027. --- [NatRevMD](https://natrevmd.com) 2027 OB Readiness Review [Start My Review →](https://eligibility.natrevmd.com/natrevmd-2027-ob-readiness-review#review-form) Free for OB/GYN practices # See where your OB billing stands before 2027 Starting January 1, 2027, global OB codes go away. Tell us a little about your practice, pick a time, and Dr. Heather Signorelli walks you through the gaps to fix before the change. [Start My Review →](https://eligibility.natrevmd.com/natrevmd-2027-ob-readiness-review#review-form) Free About 5 minutes Reviewed by a physician 2027 OB Readiness Readout Prepared for your practice What it covers - **Payer mix**Which payers carry most of your pregnancies - **Payer contracts**Contract terms tied to global OB rates - **Maternity revenue**Where OB cash flow could shift in 2027 - **Pregnancies crossing into 2027**Patients who deliver after January 1 **Reviewed by Dr. Signorelli**Heather Signorelli, DO, Co-Founder, NatRevMD Reviewed with you on a call with Dr. Signorelli 17 maternity codes deleted, including the global OB codes 4 phases billed separately: antepartum, labor, delivery, postpartum Jan 1, 2027 the date the new maternity codes take effect Source: AMA CPT 2027 maternity care services code changes. What we review ## Four areas that decide how ready your practice is You send the numbers. We look at each area and tell you what needs attention first. ### Payer mix Commercial payers and Medicaid may handle the new codes differently. We look at where your OB volume sits so you know which payer policies matter most. ### Payer contracts Many OB fee schedules are built around global codes. We flag the contract terms worth reviewing with your payers before the new codes take effect. ### Current maternity revenue Billing each phase separately changes when and how OB revenue comes in. We look at your current OB collections and where cash flow could shift. ### Pregnancies crossing into 2027 Patients who start prenatal care in 2026 and deliver in 2027 fall on both sides of the change. We look at how many you have and what to plan for. Why start now ## Some of your 2027 deliveries are already on your schedule A patient who starts prenatal care this year may deliver after January 1. Your payers' transition rules decide how those pregnancies are billed. The review shows how many you have and which payers they sit with. Example pregnancies2026 to 2027 New codes start Jan 1 Patient A, delivers Dec 2026 Patient B, delivers Mar 2027 Patient C, delivers Jul 2027 Mar 2026Sep 2026Jan 2027Sep 2027 Care before January 1, 2027 Care after January 1, 2027 How it works ## Three steps, no software to install STEP 1 ### Tell us about your practice Only your name and email are required. Add OB volume, payers, and contracts if you have them. Estimates are fine. STEP 2 ### Dr. Signorelli reviews them A physician reads your numbers across the four areas and notes the gaps that matter most for your practice. STEP 3 ### Pick a time to talk it through Right after the form, choose a time on Dr. Signorelli's calendar. She walks you through what to look at before January 1. The change ## For over 30 years, most pregnancies were billed with one global code. In 2027, each phase is billed on its own. Prenatal and postpartum visits move to E/M codes. Labor management and delivery get new codes. Practices that check payers, contracts, and active pregnancies now have more time to adjust. [Start My Review →](https://eligibility.natrevmd.com/natrevmd-2027-ob-readiness-review#review-form) Free, and reviewed by Dr. Signorelli Your reviewer ## Dr. Heather Signorelli Heather Signorelli, DO, Co-Founder, NatRevMD Dr. Signorelli is a physician and co-founder of NatRevMD. She has written about the 2027 maternity code changes for MGMA and covers them on our podcast. Every readout is reviewed by her, so you get a physician's read on your numbers, not a generic billing report. [2027 OB Revenue Calculator →](https://eligibility.natrevmd.com/the-2027-ob-revenue-calculator?hsLang=en) [NatRevMD Podcast →](https://natrevmd.com/podcast) 5+ years working with independent practices 30+ independent practice clients 200+ podcast episodes Physician-led revenue recovery, and a published book Request your review ## Tell us about your practice Skip anything you do not know. The more you share, the more useful the call. - Only name and email are required - No patient information needed - Pick a time with Dr. Signorelli right after The readout is educational and based on the numbers you share. It is not a coding audit or legal advice on your contracts. 1\. About you 2\. Your practice 3\. OB and 2027 Leave blank ### About you Only your first name and email are required. First name Required This one is required. Last name This one is required. Work email Required Enter a valid email address. Practice name This one is required. Your role Physician ownerPractice managerBilling leadOther Pick one to continue. Continue → ### Your practice All optional. Tap the closest answer or skip to the calendar . Monthly collections (whole practice, estimate) Less than $90KBetween $90K and $150KBetween $150K and $300KBetween $300K and $1MBetween $1M and $3MBetween $3M and $10MMore than $15M Pick one to continue. Specialty OB-GYNPrimary Care / Internal MedicinePediatricsUrgent CareAllergy / ImmunologyOrthopedicsCardiologyDermatologyOphthalmologyMulti-Specialty / Other Pick one to continue. Number of providers (estimate) 1 or 2Between 3 and 5Between 6 and 10Between 11 and 20More than 20 Pick one to continue. Your practice is Independent or physician-ownedPart of a hospital or health system Pick one to continue. Billing is done In-houseOutsourcedBothNot sure Pick one to continue. EHR / billing software AthenahealtheClinicalWorksEpicNextGenModMedAdvancedMDKareo / TebraDrChronoOther Pick one to continue. Back Continue → Skip the rest and pick a time → ### OB and 2027 All optional. The more you answer, the more useful the call. Deliveries per month (estimate) Less than 10Between 10 and 25Between 25 and 50Between 50 and 100More than 100Not sure Pick one to continue. Monthly collections from OB care (estimate) Less than $25KBetween $25K and $75KBetween $75K and $150KBetween $150K and $300KMore than $300KNot sure Pick one to continue. Active pregnancies due in 2027 (estimate) Less than 25Between 25 and 75Between 75 and 150More than 150Not sure Pick one to continue. Most of your OB patients have Commercial insuranceMedicaidAbout half and halfNot sure Pick one to continue. You bill most pregnancies with Global OB codesSplit billingA mix of bothNot sure Pick one to continue. Payer contracts reviewed for 2027? Yes, allSomeNot yetNot sure Pick one to continue. Anything you want Dr. Signorelli to look at? Back Pick a Time → Skip the rest and pick a time → We could not send your numbers. Check your connection and try again. ### Now pick a time with Dr. Signorelli We have your details. Choose a time that works and she will walk you through your 2027 readiness. Calendar not loading? [Open Dr. Signorelli's calendar →](https://calendly.com/heather-natrevmd/) NatRevMD, 6650 Rivers Ave Ste 105 PMB 25206, North Charleston, South Carolina 29406-4829 US © 2026 NatRevMD. All rights reserved. [natrevmd.com](https://natrevmd.com)