The full session with Stephanie Hilliard, CPC, and Dr. Signorelli: a phase-by-phase guide to the new antepartum, labor management, delivery, and postpartum rules, with four real de-identified notes coded live. Plus every tool, template, and checklist we handed out.
Request the 2027 OB Readiness Review. Share a few key numbers and get a short written readout of your gaps and what to fix first.
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Six parts, four real de-identified notes coded live, and the payer questions practices are asking right now.
The core rules from the session, in the order we taught them. Watch the recording for the full walk-through and the reasoning behind each answer.
Every prenatal visit is its own claim, leveled on what happened at that visit.
One code per calendar day of labor: initial or subsequent, straightforward or complex.
The delivery event only. Placenta and 1st or 2nd degree repair are included.
Each hospital day after the delivery date, plus each office visit.
To bill 99214, the note must also show moderate data (3 items) or moderate risk, such as a prescription decision. If nothing was reviewed, ordered, or changed, the visit is a 99212, even for a high-risk patient.
A CBC or lab panel is one item, even if it is listed under three diagnoses. Results of tests ordered at an earlier visit were counted then. An ultrasound your practice bills with its own interpretation does not count.
Several visits by different providers on one date are one service, billed at the highest level reached that day. A previous cesarean, more than one fetus, or a fetal heart rate problem that changes management makes the day complex.
Care on the delivery date is included in the delivery code. A visit at 1 AM the next day is billable (99231 to 99233), and discharge is 99238 or 99239 by time.
Note 1: long high-risk problem list, urinalysis ordered. Note 2: urinalysis and screening ultrasound ordered. Note 3: CBC, glucose screen, RPR, and urinalysis ordered, each listed under three diagnoses.
Tuesday evening: admission, misoprostol, Category I tracing. Wednesday: Category II tracing, oxytocin stopped and restarted lower after intervention, then a spontaneous vaginal delivery with a second-degree repair.
One prior low transverse cesarean. Admitted in spontaneous labor, augmented with oxytocin, arrest of dilation at 6 cm, repeat cesarean the same day.
Vaginal delivery Monday 10:48 PM. Visits: Monday 11:30 PM, Tuesday morning, Wednesday discharge (25 minutes), and a day-12 office visit that orders three tests and starts nifedipine for new postpartum hypertension.
If most prenatal visits land at 99212 or 99213, one vaginal episode comes in about 11% below the old global code.
The gap closes when notes show the work that was actually done, not by coding every visit 99214.
Work RVUs only. 59400 = 37.00 (2026). New values: AMA/RUC recommendations (Feb 2026). Assumes 12 prenatal visits (1 new, 11 established), 2 labor days (59080 + 59082), 59431, and postpartum 99232 + 99238 + one office 99213. CMS July 2026 proposed rule would raise labor and delivery values about 15%; final values expected November 2026.
Dr. Signorelli reviews how prepared your practice is for 2027 and tells you what to fix first, based on what we are seeing other OB practices do. No cost, no commitment.
Certified Professional Coder and session lead for the September 30 deep dive. Stephanie specializes in E/M documentation and level integrity and hosts the NatRevMD monthly coding webinar series.
Physician and Co-Founder of NatRevMD, the physician-led revenue cycle company that helps more than 30 independent practices get paid for the care they deliver. Every resource on this page was built or reviewed by our physician-led team.
Nine tools from the session, built and reviewed by our physician-led team. One quick form unlocks all of them.
The 2027 CPT reference plus antepartum and labor note templates. What your billing lead and providers need to code the new phases correctly from January 1.
Enter your practice's numbers and see what the 2027 code changes mean for your OB revenue, before January does it for you.
Six questions, ninety seconds. Surfaces where revenue is leaking from your practice before it leaves the door.
A week-by-week plan plus a fillable workbook, tagged by team so nothing falls between clinical, billing, admin, and contracts.
The model behind the calculator, in Excel. Revenue model, chart audit tool, coding education tracker, and payer action plan.
Twenty-two physician-tested prompts for running your revenue cycle with AI: denials, coding questions, payer letters, patient communications.
Diagnostics, checklists, playbooks, the NatRevMD Podcast, and the book, in one place.
The webinar covered the coding rules. The 2027 OB Readiness Review applies them to your practice. Share a few key numbers and get a short written readout of your gaps, reviewed by Dr. Signorelli. No commitment.
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