A fee schedule isn't just good business practice — it's a legal requirement for all licensed providers.
Under Part 2 of the No Surprises Act, all licensed healthcare providers are required to provide Good Faith Estimates to uninsured and self-pay clients, and those estimates must include CPT codes. That requirement applies whether or not you bill insurance.
Another huge change is that CPT 59400 — the global maternity care code used by most out-of-hospital birth practices — is scheduled for deletion in 2027, so now is the perfect time to build a fee structure that will carry you through that transition.
This course provides step-by-step guidance using "magic calculator" tools built specifically for this course (access included), that will guide you to a fee schedule based on your specific practice variables.
Still not sure if this course is for you? You can watch the entire first lesson in the above video.
Learning Objectives
By the end of this course, learners will be able to:
- Explain why all licensed providers, including those who do not bill insurance, need a fee schedule by CPT code.
- Properly access and apply their Medicare locality rate as a benchmark for setting perinatal service fees.
- Use publicly available tools to assess the local market range for CPT codes.
- Evaluate their fee schedule for internal consistency, including the relationship between global package fees and individual services.
- Evaluate their fee schedule for long term solvency, including the ability to serve Medicaid clients and/or provide discounts.
If you've been overwhelmed by this process in the past, this course is for you!
YES - This course includes access to the debut of our "magic calculator" tools! These replace the paper worksheet used in earlier versions of this course.
This course is included in BfM's All Access, along with other benefits.
This course provides a HiveCE Certificate for 4 hours of CE. This may be used under Category 2 CE for NARM CPM renewals.
Jesica Dolin Gutierrez, BSM, CPM
Instructor:
Jesica Dolin Gutierrez spent nearly a decade in a busy birth center, and another five years as a homebirth midwife. In her post-call life, she served three terms on the Advocacy Council of the Oregon Midwifery Council, taught at Birthingway College of Midwifery, worked as a consultant to midwifery lawyers and software companies, served on advisory boards to the Oregon Health Authority, and volunteered with MEAC as a CE reviewer. She founded HiveCE in 2015, and is devoted to improving care and options for perinatal families and providers through continuing education and research.
Course curriculum
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01
Welcome!
Show details- How This Works and Options for Direct Help
- Who Needs a Fee Schedule Anyway?
- Usage Agreement for Course Materials and Magic Calculators
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02
Know Your Numbers
Show details- Can I charge a surcharge for billing insurance?
- Can I charge a surcharge for card processing?
- Know Your Numbers: Practice Expenses Magic Calculator
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03
Know Your Locals
Show details- Can I charge supply, facility, or mobile birth center fees?
- Can I charge for late cancellations or broken appointments or no shows (or any of the myriad of other phrases that describe basically the same thing)?
- Find Your Floors
- Find Your Local Comparisons
- Find Your Balance and Finalize Your Fee Schedule
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04
Know Your Clients
Show details- Know Your Clients
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05
Post-Test, Course Evaulation and CE Certificate
Show details- Post-test
- Evaluation Questions
- Completion Certificate
Choose the enrollment method that best meets your needs:
FREE À La Carte Access through 6/30/26 via an Organizational Membership: If you are a member of any of these organizations with an active Organizational Memebership, you may access this course for free through 6/30/26. Access code/link must be obtained from the Organization you are a member of (NACPM, CALM, etc), and used at the time of enrollment. The free offer cannot be applied retroactively.
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Billing for Midwives All Access. Billing for Midwives All Access members enjoy the following benefits:
- Monthly opportunity to schedule a 30-minute private consultation (no additional cost!)
- Access to this course and all other Billing for Midwives courses
BfM's Setting Your Fees
ACCESS TO ONLY
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Enroll
$59.00
À la carte price (USD)