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Keep authorization and coverage aligned before the appointment is booked.
Coordinate global OB package billing, antepartum testing frequency, and perinatal co-management claims. See why maternal-fetal medicine practices choose Unlimited Systems for practice management and RCM software.
Maternal-fetal medicine practices function as high-risk consultants co-managing pregnancies alongside referring obstetricians, requiring billing logic that distinguishes consultative and ongoing high-risk management services from the global obstetric package owned by the referring provider. Antepartum testing, advanced ultrasound services, and perinatal co-management create frequent overlap and duplication risks that demand precise coordination between practices.
When a patient is referred to MFM for a high-risk condition, the referring OB typically retains the global obstetric package while the MFM practice bills separately for consultations, serial ultrasounds, and antepartum surveillance such as non-stress tests (NSTs) and biophysical profiles (BPPs), often performed multiple times per week in the third trimester. Without careful coordination, both practices may inadvertently bill overlapping E/M services on the same date, or antepartum testing may exceed payer-specific frequency allowances without documentation of the escalating risk justifying twice-weekly or more frequent testing.


Trusted Payer & EHR Integration Partners
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Our connected workflows are built to make you and your work easier to do and increase your revenue.
Keep authorization and coverage aligned before the appointment is booked.
Validate maternal-fetal medicine codes, modifiers, and documentation before submission.
Give teams one view of denials, margin, and A/R priorities.
Routine maternal-fetal medicine work clears itself. Your team sees only what needs their judgment.
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.

“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- CEO
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Every maternal-fetal medicine capability, grouped around the way your practice works.
Register, schedule and clear patients before the visit.
Turn documented care into clean claims and work denials.
Post payments, collect patient balances and work open AR.
Measure performance, report it and manage quality programs.
Automation, workflow, integration and the platform underneath.
Each module is configured for the codes, modifiers, and payer rules maternal-fetal medicine teams work with, not adapted from generic billing software.
These are the places maternal-fetal medicine practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.
Review your workflowCommon maternal-fetal medicine revenue leaks
The work that generic platforms leave to your staff is the work maternal-fetal medicine margin actually turns on.

See why maternal-fetal medicine practices move off general-purpose billing platforms.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many specialty practices talk with us months before a contract renewal, system evaluation, or operational change so they can understand where revenue leakage, denial risk, prior authorization delays, and reporting gaps may already be showing up.
You don't have to wait until your contract is up to start evaluating your options. The best time to assess your revenue cycle technology is before renewal pressure begins. Unlimited Systems can help you understand where your current workflows may be creating avoidable denials, manual work, charge capture gaps, or reporting limitations, so you're better prepared for renewal, replacement, or future planning.
That concern is valid, specialty practice operations are too important to disrupt. A conversation with Unlimited Systems doesn't mean an immediate rip-and-replace. We help teams evaluate workflows, identify gaps, and build a realistic path forward based on specialty, volume, payer mix, locations, integrations, and internal readiness.
Most specialty teams are already stretched thin. That's why the evaluation should focus on where the largest operational burden exists today, prior authorization, denials, charge capture, reporting, manual reconciliation, or payer-specific follow-up. The goal isn't to add work. It's to understand where better systems can remove it.
“Good enough” can still hide revenue leakage. Many practices aren't losing revenue because claims aren't being submitted, they're losing it through preventable denials, underpayments, missed modifiers, incomplete documentation, delayed authorizations, manual workarounds, and limited visibility into payer performance.
Unlimited Systems isn't designed to replace the expertise of your billing team. It's designed to give them better tools, cleaner workflows, better visibility, and fewer manual workarounds. Strong teams still need technology that helps them prioritize the right work, catch issues earlier, and reduce preventable rework.
Cash flow continuity is one of the biggest reasons to evaluate carefully and early. Unlimited Systems can help practices understand potential risk areas before a transition plan is ever built, including claim flow, authorizations, charge capture, payer rules, reporting, and operational dependencies.
Change management matters. The right platform should simplify daily work, not create unnecessary complexity. Unlimited Systems focuses on specialty workflows that align with how teams already manage authorizations, charges, denials, documentation, and financial follow-up.
Reporting is often the first visible symptom of a deeper workflow issue. If leadership can't clearly see denial trends, underpayments, authorization delays, payer behavior, or staff workload, it's harder to know what to fix. Unlimited Systems combines workflow tools with Power BI analytics to help leaders see where performance is improving and where revenue is still at risk.
That's a smart approach. A conversation with Unlimited Systems can help identify the financial case before a buying decision. Common areas to evaluate include denial reduction, staff efficiency, underpayment detection, charge capture improvement, prior authorization turnaround, and reduced manual reconciliation.
Specialty practices often depend on EHRs, clearinghouses, payment tools, drug workflows, and reporting systems. Unlimited Systems is designed to act as a connected financial workflow layer that helps reduce fragmentation, not add more disconnected work.
That caution is healthy. Automation should make decisions easier to see, not harder. Unlimited Systems is designed to surface why a claim is flagged, which payer rule applies, and where a human should step in, so your team stays in control while routine work is handled for them.
You don't need to be ready to buy to have a useful conversation. Many practices start by comparing their current workflows against what specialty-specific revenue cycle technology can support. That gives leadership a clearer view of what to fix now, what to plan for, and what questions to ask before the next renewal.
Specialty rules and connected data keep your team focused on the exceptions that need judgment.
Coverage and authorization stay tied to the order.
Code, unit, and modifier checks happen before filing.
Denials and A/R are ranked by value and filing risk.
The same connected system handles the operational work that sits either side of billing.
Digital intake, eligibility, and demographic capture before the visit.
Explore Patient IntakeSmart calendars and resource scheduling across providers and locations.
Explore Patient SchedulingAutomated eligibility checks and prior authorization management.
Explore Financial ClearancePre-claim scrubbing for coding, modifiers, and compliance accuracy.
Explore Charge ValidationEight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.
Walk the workflow with usAt referral, our system captures whether the referring provider has initiated the global obstetric package and documents the MFM practice's role as a consulting specialist, ensuring MFM E/M and ultrasound services are billed as separately identifiable services distinct from and not included in the referring provider's global fee.
Our system tracks the cumulative number of non-stress tests (CPT 59025) and biophysical profiles (CPT 76818-76819) performed per patient per week, comparing against payer-specific frequency allowances, and flags cases where twice-weekly or more frequent testing requires documentation of the escalating risk indication (such as advanced maternal age with comorbidities, post-term pregnancy, or fetal growth restriction).
We match the documented ultrasound findings against the correct code - CPT 76811 for the initial detailed fetal anatomic survey or CPT 76816 for follow-up growth scans - and verify that the documentation includes the required anatomic structures or growth parameters to support the billed code level.
Umbilical artery, middle cerebral artery, and other Doppler velocimetry studies (CPT 76825-76828) are coded based on documented vessels assessed and frequency of monitoring, with our system verifying medical necessity documentation such as fetal growth restriction or alloimmunization supports repeated Doppler assessments.
Yes. We support telehealth-based MFM consultations with appropriate modifier and place-of-service coding, while maintaining the same global package coordination logic to ensure the consultative service is billed correctly regardless of the consultation modality.
Procedures such as amniocentesis (CPT 59000) and chorionic villus sampling (CPT 59015) are billed with the appropriate ultrasound guidance codes, and our system ensures these procedure-based services are billed separately from both the global obstetric package and routine antepartum surveillance visits.
If care transitions such that the MFM practice assumes the global obstetric package (for example, due to medical complexity requiring ongoing management by the specialist), our system supports transferring the global package billing arrangement, including documentation of the transition date and division of antepartum care between practices for split global billing.
Fetal echocardiography (CPT 76825-76826) is coded based on the complexity of the cardiac assessment performed, with documentation requirements verified to support the distinct service from the routine detailed anatomy scan, ensuring both services can be appropriately billed when medically indicated.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
Practices like yours, on what changed after moving to Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
That's putting it nicely based on what we hear every day.
A support line that never picks up. An overseas call center that's never heard of your account. Errors nobody catches until the denial shows up. We're Midwest-based, not offshore, and the team that answers already knows your account. Practices that switch tend to wish they'd done it sooner.

“I would recommend Unlimited Financials to other specialty practices.”
Michelle LeandriCEO, NEPA
“We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.”
GinaAdministrator, FOUR
“We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.”
Renee BernacchiAccounts Receivable Coordinator, COAS
Connect with a specialized Maternal-Fetal Medicine RCM expert for a personal workflow walkthrough, and see where your current setup is creating avoidable revenue risk.