{"id":32723,"date":"2026-10-13T12:43:20","date_gmt":"2026-10-13T07:13:20","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=32723"},"modified":"2026-10-13T12:43:20","modified_gmt":"2026-10-13T07:13:20","slug":"obgyn-practice-audit-checklist-for-q4-2026","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/","title":{"rendered":"The 90-Day Countdown: An OBGYN Practice Audit Checklist for Q4 2026"},"content":{"rendered":"\r\n<p class=\"wp-block-paragraph\">OBGYN practices have 90 days to rebuild EHR templates, align payer contracts, and train providers before January 1, 2027, when CPT 2027 deletes the global maternity package and every maternity claim moves to phase-based reporting. This OBGYN practice audit checklist breaks those 90 days into monthly tasks with clear owners.<\/p>\r\n\r\n\r\n\r\n<h2 id=\"h-key-takeaways\" class=\"wp-block-heading\">Key Takeaways<\/h2>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>CPT 2027 deletes 17 maternity codes, adds 12, and revises 6 for dates of service from January 1, 2027.<\/li>\r\n\r\n\r\n\r\n<li>October is for EHR templates and claim scrubber logic; November is for payers, contracts, and code mapping; December is for provider training and transition safeguards.<\/li>\r\n\r\n\r\n\r\n<li>The CMS final rule in early November decides whether Medicare keeps a global option through G-codes.<\/li>\r\n\r\n\r\n\r\n<li>Some payers split transition pregnancies by estimated delivery date, not date of service.<\/li>\r\n\r\n\r\n\r\n<li>A dedicated CPT 2027 denial category is the fastest way to find and fix failing claim logic.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h2 id=\"h-why-q4-2026-is-the-real-deadline-for-your-obgyn-practice-audit-checklist\" class=\"wp-block-heading\">Why Q4 2026 Is the Real Deadline for Your OBGYN Practice Audit Checklist<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Our earlier analysis asked <a href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/is-your-obgyn-billing-company-ready-for-cpt-2027\/\" target=\"_blank\" rel=\"noopener\">whether your OBGYN billing company is ready for CPT 2027<\/a>. Three months later, that question has become a calendar, and an OBGYN practice audit checklist is the fastest way to work through it.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">The AMA restructuring deletes 17 maternity codes, adds 12, and revises 6, effective January 1, 2027. Consequently, antepartum care, labor management, delivery, and postpartum care each become separately reported phases.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Meanwhile, two moving parts make the fourth quarter decisive. CMS is expected to publish its <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/calendar-year-cy-2027-medicare-physician-fee-schedule-proposed-rule\" target=\"_blank\" rel=\"noopener noreferrer\">CY 2027 Physician Fee Schedule final rule<\/a> in early November, settling whether Medicare keeps a global option through 15 proposed G-codes.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Furthermore, some payers have already moved. <a href=\"https:\/\/metroplus.org\/press\/important-update-upcoming-nysdoh-changes-to-global-obstetric-codes-for-prenatal-services\/\" target=\"_blank\" rel=\"noopener noreferrer\">New York Medicaid<\/a> has required E\/M billing with modifier TH since June 1, 2026 for patients with an estimated delivery date on or after January 1, 2027.<\/p>\r\n\r\n\r\n\r\n<h2 id=\"h-three-forces-turning-a-code-update-into-a-cash-flow-event\" class=\"wp-block-heading\">Three Forces Turning a Code Update Into a Cash Flow Event<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Payment timing.<\/strong> Previously, the <a href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/global-maternity-billing-hidden-revenue-loss\/\" target=\"_blank\" rel=\"noopener\">global model paid one lump sum after delivery<\/a>. Phase-based billing pays per encounter, so the size and timing of every maternity receivable change at once.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Uneven payer adoption.<\/strong> Medicare, Medicaid, and commercial payers such as UnitedHealthcare, Aetna, Cigna, and Anthem Blue Cross Blue Shield will not move in lockstep. In addition, contracts that price care by 59400 or 59510 have no defined rate for the replacement codes.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Documentation moving to the encounter.<\/strong> A single global note will no longer support payment. Instead, every visit needs its own medical decision-making or time. That shift alone belongs at the top of any OBGYN practice audit checklist.<\/p>\r\n\r\n\r\n\r\n<h2 id=\"h-october-2026-infrastructure-and-documentation\" class=\"wp-block-heading\">October 2026: Infrastructure and Documentation<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Rebuild antepartum templates.<\/strong> Antepartum-only codes 59425 and 59426 are deleted in 2027, and prenatal care moves to <a href=\"https:\/\/www.medicalbillersandcoders.com\/article\/em-codes-in-ob-gyn-billing.html\" target=\"_blank\" rel=\"noopener\">per-encounter E\/M reporting<\/a>. Therefore, templates should capture the setting of each visit and the medical decision-making behind it.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Set postpartum E\/M standards.<\/strong> Postpartum code 59430 is also deleted. Postpartum visits are reported per encounter starting the calendar day after delivery, because same-day postpartum care is included in the new delivery codes.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Configure claim scrubber logic.<\/strong> As an early OBGYN practice audit checklist item, load hard stops for all 17 deleted codes on dates of service from January 1, and load <a href=\"https:\/\/www.medicalbillersandcoders.com\/medical-coding-services.aspx\" target=\"_blank\" rel=\"noopener\">coding edits<\/a> for the 12 new codes before any test claim runs.<\/p>\r\n\r\n\r\n\r\n<h2 id=\"h-november-2026-payer-alignment-and-procedural-mapping\" class=\"wp-block-heading\">November 2026: Payer Alignment and Procedural Mapping<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Audit your billing company.<\/strong> As part of your OBGYN practice audit checklist, send a written readiness questionnaire covering the four-phase model, coder training, scrubber updates, and a payer-by-payer adoption log. Otherwise, vague answers in November become denials in January.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Map labor management.<\/strong> New codes 59080 through 59083 report labor management by calendar date and separate straightforward from complex cases. However, the same provider should not report an inpatient E\/M service and labor management on the same date.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Integrate the new delivery codes.<\/strong> Delivery is now reported apart from labor management, with new codes for vaginal, VBAC, and cesarean delivery and for procedures such as laceration repair and hysterectomy after cesarean. Before mapping, confirm descriptors against the CPT 2027 Professional Edition.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Verify payer contract valuation.<\/strong> Once the final rule lands, compare how each top payer values the individual phases against what the global fee paid, watching for the <a href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-underpayments-cost-practice-h1-2026\/\" target=\"_blank\" rel=\"noopener\">underpayments<\/a> that follow any rate change. Then, request amendments wherever a fee schedule still cites a deleted code.<\/p>\r\n\r\n\r\n\r\n<h2 id=\"h-december-2026-provider-training-and-transition-safeguards\" class=\"wp-block-heading\">December 2026: Provider Training and Transition Safeguards<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Run provider coding sessions.<\/strong> Specifically, train OBs, certified nurse-midwives, and nurse practitioners to document each encounter on its own, not as part of a global episode.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Deploy a transition protocol.<\/strong> Since payer rules differ, pregnancies that start in 2026 and deliver in 2027 must follow each payer&#8217;s rule, which may turn on date of service or on estimated delivery date.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Isolate CPT 2027 denials.<\/strong> A <a href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/why-obgyn-denial-management-needs-executive-attention-in-2026\/\" target=\"_blank\" rel=\"noopener\">dedicated denial category<\/a> shows which payer, code, and phase is failing, so <a href=\"https:\/\/www.medicalbillersandcoders.com\/revenue-management-services.aspx?DivId=denial-management-appeals\" target=\"_blank\" rel=\"noopener\">denial management<\/a> can fix root causes within days, not months.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Plan the cash flow bridge.<\/strong> Unlike global fees, per-encounter payments arrive in smaller pieces and on a different schedule. Model the first quarter of 2027 by payer so a slower adjudication cycle does not become a working capital problem. Add that model to your OBGYN practice audit checklist as the final December item.<\/p>\r\n\r\n\r\n\r\n<h2 id=\"h-the-90-day-obgyn-practice-audit-checklist-at-a-glance\" class=\"wp-block-heading\">The 90-Day OBGYN Practice Audit Checklist at a Glance<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Each item on this OBGYN practice audit checklist needs an owner and proof of completion. Indeed, a shared intention across coding, contracting, and billing is not a plan.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table class=\"has-fixed-layout\">\r\n<tbody>\r\n<tr>\r\n<th>\r\n<p>Month<\/p>\r\n<\/th>\r\n<th>\r\n<p>OBGYN practice audit checklist item<\/p>\r\n<\/th>\r\n<th>\r\n<p>Owner<\/p>\r\n<\/th>\r\n<th>\r\n<p>Evidence of completion<\/p>\r\n<\/th>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>October<\/p>\r\n<\/td>\r\n<td>\r\n<p>Antepartum and postpartum EHR templates rebuilt<\/p>\r\n<\/td>\r\n<td>\r\n<p>Clinical lead<\/p>\r\n<\/td>\r\n<td>\r\n<p>Template change log signed off<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>October<\/p>\r\n<\/td>\r\n<td>\r\n<p>17 deleted codes blocked, 12 new codes loaded<\/p>\r\n<\/td>\r\n<td>\r\n<p>Billing partner<\/p>\r\n<\/td>\r\n<td>\r\n<p>Scrubber test results<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>November<\/p>\r\n<\/td>\r\n<td>\r\n<p>Billing company readiness questionnaire<\/p>\r\n<\/td>\r\n<td>\r\n<p>Practice administrator<\/p>\r\n<\/td>\r\n<td>\r\n<p>Written responses on file<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>November<\/p>\r\n<\/td>\r\n<td>\r\n<p>Labor management and delivery code mapping<\/p>\r\n<\/td>\r\n<td>\r\n<p>Coding lead<\/p>\r\n<\/td>\r\n<td>\r\n<p>Approved crosswalk<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>November<\/p>\r\n<\/td>\r\n<td>\r\n<p>Payer valuation review after the CMS final rule<\/p>\r\n<\/td>\r\n<td>\r\n<p>CFO<\/p>\r\n<\/td>\r\n<td>\r\n<p>Phase-level rate comparison by payer<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>December<\/p>\r\n<\/td>\r\n<td>\r\n<p>Provider documentation training<\/p>\r\n<\/td>\r\n<td>\r\n<p>Medical director<\/p>\r\n<\/td>\r\n<td>\r\n<p>Attendance record and chart audit<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>December<\/p>\r\n<\/td>\r\n<td>\r\n<p>Transition protocol by payer rule<\/p>\r\n<\/td>\r\n<td>\r\n<p>Billing lead<\/p>\r\n<\/td>\r\n<td>\r\n<p>Active pregnancies flagged by date of service or estimated delivery date<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>December<\/p>\r\n<\/td>\r\n<td>\r\n<p>CPT 2027 denial category live<\/p>\r\n<\/td>\r\n<td>\r\n<p>RCM lead<\/p>\r\n<\/td>\r\n<td>\r\n<p>Reporting view tested<\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n\r\n<h2 id=\"h-how-readiness-differs-by-billing-model\" class=\"wp-block-heading\">How Readiness Differs by Billing Model<\/h2>\r\n\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table class=\"has-fixed-layout\">\r\n<tbody>\r\n<tr>\r\n<th>\r\n<p>OBGYN practice audit checklist area<\/p>\r\n<\/th>\r\n<th>\r\n<p>Generic billing vendor<\/p>\r\n<\/th>\r\n<th>\r\n<p>In-house team<\/p>\r\n<\/th>\r\n<th>\r\n<p>Specialized OBGYN partner<\/p>\r\n<\/th>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>Claim scrubber updates<\/p>\r\n<\/td>\r\n<td>\r\n<p>Waits for clearinghouse release<\/p>\r\n<\/td>\r\n<td>\r\n<p>Depends on EHR vendor timeline<\/p>\r\n<\/td>\r\n<td>\r\n<p>Deleted and new codes tested before January<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>Payer adoption tracking<\/p>\r\n<\/td>\r\n<td>\r\n<p>Reacts only when denials arrive<\/p>\r\n<\/td>\r\n<td>\r\n<p>Spreadsheet, if tracked at all<\/p>\r\n<\/td>\r\n<td>\r\n<p>Payer-by-payer log with payer variance detection<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>Transition pregnancies<\/p>\r\n<\/td>\r\n<td>\r\n<p>Billed by date of service only<\/p>\r\n<\/td>\r\n<td>\r\n<p>Handled case by case<\/p>\r\n<\/td>\r\n<td>\r\n<p>Protocol by payer rule, including estimated delivery date<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>Denial visibility<\/p>\r\n<\/td>\r\n<td>\r\n<p>Mixed into the general queue<\/p>\r\n<\/td>\r\n<td>\r\n<p>Limited reporting<\/p>\r\n<\/td>\r\n<td>\r\n<p>Dedicated CPT 2027 category with root-cause analysis<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<p>CFO reporting<\/p>\r\n<\/td>\r\n<td>\r\n<p>Monthly statement<\/p>\r\n<\/td>\r\n<td>\r\n<p>Manual exports<\/p>\r\n<\/td>\r\n<td>\r\n<p><a href=\"https:\/\/www.medicalbillersandcoders.com\/rcm-dashboard\" target=\"_blank\" rel=\"noopener\">Phase-level revenue view by payer<\/a><\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">In short, the gap between these columns is where Q1 2027 revenue is won or lost. For example, a <a href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/ob-gyn-groups-leaving-generalist-billing-vendors\/\" target=\"_blank\" rel=\"noopener\">generalist vendor<\/a> treating CPT 2027 as a routine code refresh will be fixing claim logic after the denials arrive.<\/p>\r\n\r\n\r\n\r\n<h2 id=\"h-mbc-spotlight-phase-based-readiness-for-multi-provider-obgyn-groups\" class=\"wp-block-heading\">MBC Spotlight: Phase-Based Readiness for Multi-Provider OBGYN Groups<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">MBC&#8217;s OBGYN Center of Excellence brings 25+ years of maternity coding experience to the CPT 2027 transition and to every step of the OBGYN practice audit checklist. Moreover, its Revenue Integrity Framework pairs denial root-cause engineering with payer variance detection, so multi-provider groups see exactly which payer and which phase of care is creating friction.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Additionally, clients work with a dedicated account manager on a system-agnostic platform, backed by a 97% clean claim rate, a 30% A\/R reduction within 90 days, and 98% client retention. Learn more about MBC&#8217;s <a href=\"https:\/\/www.medicalbillersandcoders.com\/speciality\/obgyn-medical-billing-services.html\" target=\"_blank\" rel=\"noopener\">OBGYN billing services<\/a>, or compare vendors in our review of the <a href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/best-obgyn-billing-companies-2026\/\" target=\"_blank\" rel=\"noopener\">best OBGYN billing companies<\/a>.<\/p>\r\n\r\n\r\n\r\n<div class=\"wp-block-group has-background\" style=\"border-radius: 8px; background-color: #eef6fb; padding: 24px;\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\r\n<h3 class=\"wp-block-heading\">Is Your Maternity Billing Ready for January 1, 2027?<\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">See how your maternity billing workflow measures against this 90-day OBGYN practice audit checklist before CPT 2027 takes effect. Our OBGYN billing specialists will review your templates, scrubber logic, and payer contracts and show you where revenue is at risk.<\/p>\r\n\r\n\r\n\r\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\r\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.medicalbillersandcoders.com\/contact-us.aspx?utm_source=contact-us-sab&amp;utm_medium=MBCblog%28sab%29&amp;utm_campaign=MBCblog%28sab%29&amp;utm_id=contact-us-sab&amp;utm_term=10%2F13%2F2026SAB&amp;utm_content=%28SAB%29\" target=\"_blank\" rel=\"noopener\">Request a Revenue Diagnostic<\/a><\/div>\r\n<\/div>\r\n<\/div><\/div>\r\n\r\n\r\n\r\n<h2 id=\"h-obgyn-practice-audit-checklist-frequently-asked-questions\" class=\"wp-block-heading\">OBGYN Practice Audit Checklist: Frequently Asked Questions<\/h2>\r\n\r\n\r\n\r\n<div class=\"schema-faq wp-block-yoast-faq-block\">\r\n<div id=\"faq-question-179187423991740\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">What should an OBGYN practice audit checklist cover before CPT 2027 takes effect?<\/strong>\r\n<p class=\"schema-faq-answer\">Audit EHR templates for antepartum and postpartum encounters, claim scrubber logic for the 17 deleted and 12 new codes, payer contracts that price care by global code, provider documentation habits, and the billing company&#8217;s readiness plan. Each item needs an owner and written evidence of completion before December 31, 2026.<\/p>\r\n<\/div>\r\n<div id=\"faq-question-179187423991742\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">Which maternity codes are deleted on January 1, 2027?<\/strong>\r\n<p class=\"schema-faq-answer\">CPT 2027 deletes 17 maternity codes. Specifically, they include the global package codes 59400, 59510, 59610, and 59618, the antepartum-only codes 59425 and 59426, and postpartum code 59430. Deleted codes are invalid for dates of service on or after January 1, 2027, so any claim using them will be rejected.<\/p>\r\n<\/div>\r\n<div id=\"faq-question-179187423991744\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">How is labor management billed under CPT 2027?<\/strong>\r\n<p class=\"schema-faq-answer\">Labor management is reported separately from delivery using new codes 59080 through 59083. Also, it is reported by calendar date and distinguishes straightforward from complex labor. However, the same provider should not bill an inpatient E\/M service and labor management on the same date.<\/p>\r\n<\/div>\r\n<div id=\"faq-question-179187423991746\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">Will CPT 2027 delay OB\/GYN payments in early 2027?<\/strong>\r\n<p class=\"schema-faq-answer\">Payments shift from one global fee after delivery to separate payments per encounter, and payers will adopt the new structure on different timelines. As a result, practices without updated claim logic, contracted rates for new codes, and a cash flow plan for the first quarter of 2027 are most exposed to adjudication delays.<\/p>\r\n<\/div>\r\n<div id=\"faq-question-179187423991748\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">How can I tell if my OBGYN billing company is ready for CPT 2027?<\/strong>\r\n<p class=\"schema-faq-answer\">First, ask for written answers. A ready partner can show tested scrubber edits for the new codes, a payer-by-payer adoption log, a protocol for pregnancies that span 2026 and 2027, and a dedicated CPT 2027 denial category. If those answers are vague in November, expect denials in January.<\/p>\r\n<\/div>\r\n<\/div>\r\n","protected":false},"excerpt":{"rendered":"<p>OBGYN practices have 90 days to rebuild EHR templates, align payer contracts, and train providers before January 1, 2027, when CPT 2027 deletes the global maternity package and every maternity claim moves to phase-based reporting. This OBGYN practice audit checklist breaks those 90 days into monthly tasks with clear owners. Key Takeaways Why Q4 2026 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":32725,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[434],"tags":[6573,6405,5869,6134,709,969,6571,6572],"class_list":["post-32723","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ob-gyn-billing-services","tag-cpt-2027-changes","tag-global-maternity-claims","tag-maternity-claims","tag-mbc-delivers-obgyn-billing-services","tag-ob-gyn-billing-services","tag-obgyn-billing-services","tag-obgyn-practice-audit-checklist","tag-obgyn-practice-audit-checklist-for-q4-2026"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>An OBGYN Practice Audit Checklist for Q4 2026<\/title>\n<meta name=\"description\" content=\"Utilize the OBGYN Practice Audit 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The main goal of our organization is to assist physicians looking for billers and coders, at the same time help billing specialists looking for jobs, reach the right place.","sameAs":["https:\/\/www.medicalbillersandcoders.com\/blog"],"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/author\/administrator\/"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991740","position":1,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991740","name":"What should an OBGYN practice audit checklist cover before CPT 2027 takes effect?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Audit EHR templates for antepartum and postpartum encounters, claim scrubber logic for the 17 deleted and 12 new codes, payer contracts that price care by global code, provider documentation habits, and the billing company's readiness plan. Each item needs an owner and written evidence of completion before December 31, 2026.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991742","position":2,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991742","name":"Which maternity codes are deleted on January 1, 2027?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT 2027 deletes 17 maternity codes. Specifically, they include the global package codes 59400, 59510, 59610, and 59618, the antepartum-only codes 59425 and 59426, and postpartum code 59430. Deleted codes are invalid for dates of service on or after January 1, 2027, so any claim using them will be rejected.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991744","position":3,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991744","name":"How is labor management billed under CPT 2027?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Labor management is reported separately from delivery using new codes 59080 through 59083. Also, it is reported by calendar date and distinguishes straightforward from complex labor. However, the same provider should not bill an inpatient E\/M service and labor management on the same date.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991746","position":4,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991746","name":"Will CPT 2027 delay OB\/GYN payments in early 2027?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Payments shift from one global fee after delivery to separate payments per encounter, and payers will adopt the new structure on different timelines. As a result, practices without updated claim logic, contracted rates for new codes, and a cash flow plan for the first quarter of 2027 are most exposed to adjudication delays.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991748","position":5,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/obgyn-practice-audit-checklist-for-q4-2026\/#faq-question-179187423991748","name":"How can I tell if my OBGYN billing company is ready for CPT 2027?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"First, ask for written answers. A ready partner can show tested scrubber edits for the new codes, a payer-by-payer adoption log, a protocol for pregnancies that span 2026 and 2027, and a dedicated CPT 2027 denial category. If those answers are vague in November, expect denials in January.","inLanguage":"en-US"},"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts\/32723","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/comments?post=32723"}],"version-history":[{"count":7,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts\/32723\/revisions"}],"predecessor-version":[{"id":32732,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts\/32723\/revisions\/32732"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/media\/32725"}],"wp:attachment":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/media?parent=32723"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/categories?post=32723"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/tags?post=32723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}