Boost Revenue for your Maternal-Fetal Medicine Billing
Practice
Create systems and workflows to accelerate payments, maximize revenue, and scale. Automate intelligently, get insights into everything, and tailor your services so that you and your clients can grow.
Spend Less Time on Billing, More on Patients
Master MFM billing
Navigate the complexities of maternal-fetal medicine billing with ease. Kovo ensures accurate coding, compliance, and claim submissions tailored to MFM specialties.
Simplify every stage
From scheduling to reimbursements, Kovo streamlines every step of the billing cycle, reducing administrative work for your team and enhancing overall efficiency.
Maximize every payment
Kovo optimizes claims management to secure maximum reimbursements, helping your practice focus on delivering exceptional care while improving revenue.
Kovo RCM Solves the Unique Medical Billing Challenges in Maternal-Fetal Medicine
Maternal-Fetal Medicine (MFM) practices face a host of specialized medical billing challenges that differ significantly from standard obstetrics.
Successfully navigating these issues requires expertise not only in coding but also in payer compliance and revenue cycle management (RCM). Kovo RCM provides tailored solutions designed specifically for MFM practices to address the most common billing issues and ensure seamless reimbursements.
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Coding for High-Risk Pregnancies
Challenge:
MFM practices often deal with high-risk pregnancies requiring coding for advanced diagnostics (e.g., detailed ultrasounds) and invasive procedures (e.g., amniocentesis). Each procedure must meet stringent medical necessity requirements, and poor documentation can lead to claim denials
How Kovo RCM Solves It:
Kovo ensures accurate use of CPT® and ICD-10 codes for detailed ultrasounds (76811), amniocentesis (59000), and biophysical profiles (76818) to reflect the complexity of high-risk pregnancies.
Thorough documentation support to justify advanced procedures and streamline submission processes for clean claims.
Lack of Global Billing in MFM
Challenge:
Unlike general obstetrics, MFM services are consultative and don’t fall under standard 90-day or zero-day maternity global billing periods. This can create confusion in separating routine prenatal care from high-risk fetal diagnostic services
How Kovo RCM Solves It:
Kovo RCM provides consultative billing expertise, ensuring services such as maternal ultrasounds, fetal monitoring, and follow-up scans are billed accurately and separately from global care.
Manages modifiers (e.g., 26 for professional services) to indicate non-global billing when required
Payer-Specific Policies & Denials
Challenge:
Payers often bundle specific procedures into the global maternity care package or impose unique requirements, such as pre-authorization or modifiers. For example, some payers require different rules for coding biophysical profiles with multiple gestations
How Kovo RCM Solves It:
Payer-specific compliance: Kovo’s team monitors policies to ensure adherence to insurance rules, leveraging correct modifiers (59 for distinct NSTs) and compliance with bundling requirements.
Handles pre-authorization for services like genetic testing, fetal echocardiograms, and invasive procedures to reduce processing delays
Lost Revenue from Poor Documentation
Challenge:
Incomplete or unclear documentation can cause payer scrutiny, especially for ultrasounds or detailed anatomy scanning (e.g., why the maternal adnexa wasn’t visualized must be explained). Unsupported claims are at risk of denial
How Kovo RCM Solves It:
Kovo provides documentation education and support to ensure every claim includes detailed descriptions of services performed and medical necessity (e.g., why 76811, detailed ultrasound, is appropriate after a routine scan).
Reduces denials by bridging the gap between clinical documentation and billing requirements
Managing Multiple Gestations & Procedures
Challenge:
MFM often involves simultaneous care for multiple fetuses, requiring coders to handle procedures per fetus. Incorrect use of add-on codes like +76802 and +76810 for additional gestations results in underbilling
How Kovo RCM Solves It:
Experts in complex MFM coding ensure that all additional gestation-related services are correctly coded and billed for reimbursement (e.g., 76805 + 76810) while avoiding payer conflicts.
Advises on appropriate modifier usage for procedures involving twins or more (e.g., 59 for distinct services when needed).
Revenue Leakage from Manual RCM Processes
Challenge:
Manual entry errors and inefficient billing workflows often lead to delays, missed charges, and significant revenue leakage in MFM practices
How Kovo RCM Solves It:
Kovo utilizes advanced billing technology to automate charge capture and reduce manual errors, ensuring all services are appropriately billed.
Optimizes payment posting and denial management workflows for faster claim turnaround.
Why Maternal-Fetal Medicine Billing Requires a Specialized RCM Partner
Learn how partnering with a tailored RCM provider can transform your billing process and boost your revenue.
Kovo RCM's Core Features Designed for Every Medical Billing Specialty We Serve
Efficient billing, coding, and compliance support for every specialty we partner with.
Receive the personal touch of a consistent account manager. Your dedicated partner ensures every claim, report, and question is handled promptly, giving you a single point of contact who knows your practice inside and out.
We don’t stop at filing claims, we work them until they’re paid. Our billing team aggressively tracks unpaid claims, identifies patterns in denials, and appeals quickly to recover lost revenue and protect your bottom line.
Let us simplify your billing and boost your revenue—no matter your specialty.
Feel confident in our performance with clear reports and communication. Stay informed with weekly updates, monthly summaries, and open access to performance metrics - no surprises, no guessing.
Receive actionable data insights that allow you to gauge the health of your practice and opportunities for growth. Our intuitive dashboards visualize revenue trends, payer mix, and collection ratios so you can make informed business decisions instantly.
As a HIPAA-compliant, HBMA-accredited, and highly 5-star-reviewed company, Kovo is a thoroughly trusted partner to dozens of medical practices throughout the country.
Everything you need from medical billing software. Learn why medical billing companies trust Kovo RCM.
Schedule a customized demo and experience first hand how Kovo RCM’s tailored solutions for medical billing companies can revolutionize your operations.
