Practice management
Coding and reimbursement
Good documentation is not only about getting paid — it is also a patient safety and quality audit issue. This section collects practical resources.
Obstetric ultrasound
Coding first- and second-trimester screening, Doppler studies and the biophysical profile.
High-risk visits
Documenting and justifying increased antenatal visit frequency.
Inpatient management
Recording hospital days, intensive monitoring and procedures.
Telehealth consultation
Documentation requirements and the conditions for reimbursement.
Principles of documentation
- The record should show what was done and why — not just the conclusion
- Any departure from the standard should be justified in the record
- For ultrasound, images must be archived
- The patient's informed consent must be documented
Common mistakes
The most frequent reason reimbursement is delayed is incomplete documentation — specifically, no justification recorded for increased frequency of investigations.
These materials are informational. The final reimbursement decision rests with the insurer under the applicable contract.