Neonatology EHR and AI Medical Billing Software

Neonatologists care for the smallest, sickest patients, billed day by day in the hospital. XEHR keeps the professional side precise.

Book a neonatology demo See pricing

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Day three in the NICU, born at 32 weeks.

P07.35 Preterm newborn, 32 weeks

ReviewSign note

Diagnosis carried to the claimP07.35

THE HARD PARTS

What makes neonatology billing hard

Daily care billed by level

Neonatal intensive and continuing care is billed per day by level, and the level must match the documentation.

Newborns without their own coverage yet

A newborn is often billed under a parent at first, then under their own plan.

Hospital-based billing

Every claim needs the correct facility and setting.

WHERE THE WORK HAPPENS

How neonatology care is delivered and billed

Neonatologists care for newborns in the neonatal intensive care unit, the intermediate nursery and the delivery room. Care is billed on the professional claim with the hospital place of service, mostly as daily services whose level depends on the baby’s condition, age and weight. Many babies are covered by Medicaid, and the newborn’s own coverage must be established after birth.

What payers check on neonatology claims

Daily neonatal intensive and critical care services are billed once per day, with the level set by the baby’s condition and weight.
Gestational age and birth weight are coded together for preterm and low birth weight babies.
The birth itself is coded only on the newborn’s birth record, not on later admissions.
Procedures such as line placement may be included in daily critical care for some payers.
The newborn must be billed under its own coverage once it is established.

Common neonatology diagnoses ICD-10-CM

P07.34	Preterm newborn, gestational age 31 completed weeks
P07.15	Other low birth weight newborn, 1250-1499 grams
P22.0	Respiratory distress syndrome of newborn
P59.9	Neonatal jaundice, unspecified
P36.9	Bacterial sepsis of newborn, unspecified
Z38.00	Single liveborn infant, delivered vaginally

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A neonatology visit, start to payment

1
Attend the delivery

Attendance and any resuscitation at birth are documented with the time and what was done.
2
Daily care by condition

Each day’s note records the baby’s condition, weight and support, which decides the level billed.
3
Establish coverage

The newborn’s own coverage is added as soon as it exists, so claims are not billed under the mother.
4
Bill each day

Daily services and procedures go out with the hospital place of service and the right level for the day.

How XEHR helps

From the neonatology visit to the payment

Daily notes that support the levelTemplates capture the findings that support each day of care.
Coverage updated when it changesInsurance is updated once and carried onto open claims.
Facility on every claimThe hospital and setting are chosen per case.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for neonatology

AI medical billing for neonatology practices

XEHR is an agentic EHR: AI agents do the administrative work around every neonatology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Daily neonatal intensive and critical care services are billed once per day, with the level set by the baby’s condition and weight.
Gestational age and birth weight are coded together for preterm and low birth weight babies.
The birth itself is coded only on the newborn’s birth record, not on later admissions.
Procedures such as line placement may be included in daily critical care for some payers.

Around the visit

Agents run on their own

Coverage checked before each neonatology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a neonatology EHR

Ask every vendor, including us. The answers show whether a system was built for neonatology work or only adapted to it.

Ask us on a demo

Is each day’s NICU level supported by documented condition and weight?
Can delivery room attendance be documented with times and actions?
Is the newborn’s own coverage added as soon as it exists?
Are gestational age and birth weight coded together?
Are bundled procedures kept off the claim when payers include them?

QUESTIONS

Neonatology practices ask us

Can XEHR bill daily neonatal intensive care?

Yes. Each day is documented and billed at the level the note supports.

How does XEHR handle a newborn with no insurance yet?

Coverage is recorded when known and carried onto open claims.

Does XEHR support NICU daily billing?

Yes. Each day’s level is documented and billed with the hospital place of service.

Can XEHR record delivery room attendance?

Yes. Attendance and resuscitation are documented with times and actions.

Does XEHR support intermediate nurseries?

Yes. Intermediate care is documented and billed at the right level.

Can NICU follow-up clinics use XEHR?

Yes. Follow-up visits continue in the same record.

How much does XEHR cost for a neonatology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a neonatology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for neonatology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing