Preparing for the End of Global OB: What OB/GYN Practices Need to Know About 2027 Maternity Coding Changes

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The way maternity care is billed is evolving, and for OB/GYN practices, the impact will be significant.

Beginning January 1, 2027, the traditional global obstetric package will be eliminated in favor of a more detailed, service-based billing model. Instead of a single bundled payment, practices will bill separately for prenatal visits, labor management, delivery, and postpartum care.

While this shift is designed to improve transparency and better reflect the complexity of modern, team-based care, it also introduces new operational and financial considerations that practices cannot afford to overlook.

For many organizations, this is more than a coding update. It is a structural change that touches workflows, reimbursement strategy, and financial performance.

Why This Change Matters for Your Practice

For years, the global OB model has provided predictability. With that changing, practices will need to rethink how they approach:

  • Revenue cycle management and reimbursement strategy
  • Documentation and coding workflows
  • Provider productivity tracking
  • Financial forecasting and budgeting
These are areas where even small inefficiencies can compound over time.
 
At Kassouf, we regularly work with healthcare organizations on these types of projects. Our experience shows that changes in reimbursement models often create both risk and opportunity, depending on how early and thoughtfully a practice prepares.

Operational Impacts to Consider Now

Even though the effective date is still ahead, practices that start early will be better positioned for a smoother transition.

1. Workflow and Staffing Adjustments: Moving from a bundled to a service-based model will require more detailed tracking of services across the patient journey. This may affect how teams document, code, and coordinate care.

2. Financial Visibility: A more granular billing model can improve insight into where revenue is generated, but only if practices have the right systems and processes in place to capture it accurately.

3. Compliance and Documentation: With increased billing specificity comes increased scrutiny. Ensuring consistent, compliant documentation will be critical.

4. Strategic Planning: Changes like this often influence long-term decisions around staffing, provider compensation models, and growth strategy. Practices that treat this as a strategic planning moment, not just a coding update, tend to be better prepared.

Kassouf’s healthcare advisory team frequently supports practices in evaluating these types of operational and financial impacts, helping align strategy with both current performance and future goals.

What This Means for Practice Leadership

For physicians and administrators, the upcoming changes highlight the importance of taking a proactive approach.

This is an opportunity to:
  • Reevaluate internal processes
  • Improve financial reporting and benchmarking
  • Strengthen communication between clinical and administrative teams
  • Identify gaps in systems or workflows before they create disruption
Healthcare organizations are increasingly operating in complex environments, and having access to experienced advisors can make a meaningful difference in navigating change effectively.

Staying Ahead of What’s Next

While the transition to a new maternity billing model may feel distant, the planning window is now.

Practices that start early will have more time to test workflows, train staff, and make informed decisions about their operations and financial strategies.
 
That is why educational opportunities and industry insights matter. They are part of a broader approach to supporting clients, helping them stay informed, prepared, and confident in the face of change.
 
At Kassouf, that commitment is rooted in building meaningful relationships and providing guidance that goes beyond compliance, where your business is more than a number

Join the Conversation

If your team is beginning to think about how these changes may affect your practice, we invite you to continue the conversation with us.

We are hosting a complimentary workshop, Beyond Global OB: Preparing Your Practice for the 2027 Maternity Coding Changes, featuring nationally-recognized coding expert Kim Huey

Beyond Global OB: Preparing Your Practice for the 2027 Maternity Coding Changes
📅 Wednesday, July 29
⏰ 9-11 a.m. (Central Time)
📍 Hybrid
🍴 Complimentary refreshments included for in-person attendees
 
This workshop has been submitted for continuing education credit through the Alabama State Board of Public Accountancy and the American Academy of Professional Coders.
 
Whether you attend in person or virtually, the goal is simple: to help your team better understand what is coming and how to prepare.
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