Assistance with Contracting

The AABC Industry Relations Committee (IRC) has developed member-only resources to help with facility billing, the contracting process, and educating employers, purchasers and payers on the benefits of including birth centers in their benefit plans.


IRC Toolkits for Birth Center, Developing Birth Center, and Alongside Midwifery Unit members

Facility Billing for Birth Centers

This toolkit developed by the AABC Industry Relations Committee is designed to provide a  resource for freestanding birth centers seeking to bill for facility services and interested parties seeking to understand birth center billing. It reviews the basics of billing as well as AABC best practices, core revenue codes, and provides tools for renegotiating your current contracts for uniformity and better reimbursement. (2021)

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Birth Center Contracting

Use this toolkit to assist with contracting for your birth center. Learn how to use a budget to determine your break even point, and the definitions of commonly used insurance terms. Plus, the toolkit looks at common issues and solutions in the contracting process. (2019)

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Engaging Employers, Contractors + Payors

Use this toolkit to educate employers, purchasers and payors on the benefits of including birth centers in their benefit plans. (2017)

Download Toolkit

IRC Office Hours

Join Industry Relations Committee (IRC) members on Wednesdays every month for topical discussions on getting paid.  As always, the sessions also include information about AABC tools and resources available to assist members with contracting and payment and an opportunity to brainstorm the issues members are challenged with.

A benefit of AABC membership. Registration is required.

AABC membership is required. Registration is free and open to all AABC members.

IRC Office Hours Leaders

BRIANNA BENNETTBrianna Bennett, MBA is an expert in birth center administration and an experienced nonprofit medical manager.  She has served as faculty for AABC for more than 10 years teaching workshops throughout the U.S., consulting with midwives, medical leaders, and entrepreneurs.  She understands all facets of financial management, HR, marketing, program development, and business grit.  Brianna worked for more than 15 years as the business director of the Women's Birth & Wellness Center in Chapel Hill, NC where she has helped the center grow and expand its services to include more than 7,500 clients.  Brianna also helped to kick-start a second birth center in Asheville, NC in 2016.

ERICA BIESINGERErica Biesinger, MBA has been involved in the birth center community since 2014 when she joined the staff at The Midwife Center in Pittsburgh as the Finance and Operations Manager.  Since then, she's provided ongoing administrative support to the birth center including overseeing all financial aspects of the Center and helping to expand  both the facility and programs offered.  She is passionate about the independent, free-standing birth center model and the midwifery model of care. Her goal is to have that shine through in her administrative work, while improving the ongoing financial health of the birth center. 

MARNIE CABEZASMarnie Cabezas is the CEO of Innovation Billing Service, Inc. Her experience as both an independent medical practitioner and a small business owner fuels her passion for helping practices work smarter and get the compensation they deserve. She is committed to keeping Innovation Billing’s clients focused on providing compassionate, inclusive, evidence-based care to their communities. 

CYNTHIA FLYNNCynthia Flynn, CNM, PhD, FACNM has extensive management experience, having served as executive director of The Birth Center, Bryn Mawr, PA; the general director of Family Health and Birth Center, Washington DC, where she negotiated the merger of the birth center with a Federally Qualified Health Center in order to provide stable financing; and founder/owner of Columbia Women’s Clinic and Birth Center, Kennewick, WA.   At the national level, she is a past president of the American Association of Birth Centers (AABC), and serves on the AABC Government Affairs and Research Committees as well as the Legislative and Policy Committee of the Midwives Association of Washington State (MAWS).  Additionally, she has provided consulting for organizations wishing to start, expand, sustain or replicate midwifery practices and/or birth centers in order to increase access for healthy women to a proven method of obtaining a safe delivery.  

CLAUDIA JENNINGSClaudia Jennings has worked with midwives at freestanding birth centers for 6 years and is proud to have held many operational roles, most recently as the administrative director of a birth center in MN. She provides behind the scenes support to ensure midwives can provide excellent clinical care and get paid appropriately for doing so! She is passionate about the value of the freestanding birth center model and how to demonstrate it, barriers to higher payment for birth centers and midwives, and ways to create operational and billing efficiency in the birth center model.

Desiree LeFaveDesiree LeFave, CPM, LDM is a midwife and co-owner of Bella Vie Gentle Birth Center in Salem, Oregon. She was inspired to become a midwife following the incredible experience of birthing her first child, Kaeli, at home, in 1995. Desiree, along with Petra Prostrednik, decided to start Bella Vie because of their strong desire to carry on the legacy of midwifery and gentle birth in an environment that can serve many women and their families. Together with their husbands, they put many years of hard work into the birth center, and are proud of, and grateful for the results.In 2016 Desiree’s family moved from the Willamette Valley due to her husband’s job, but she continues to support the details of the birth center business from afar, daily, and now spends about one week out of every month midwifing at Bella Vie. 

REBECKAH ORTON Rebeckah Orton, BS, RN is the owner and executive director of Astoria Birth Center & Family Medicine in Astoria Oregon. She has worked in maternal health in the capacity of a student, doula, nurse, or birth center owner over the last 14 years. She also has a strong background in research during her time managing a major parasitology laboratory in Boston. Rebeckah serves on the board of directors for the Oregon Association of Birth Centers, is on the OABC insurance repricing committee, and is a member of the IRC. She is married to her partner of 19 years and has three children.

ARDEN SCHWENKER Arden Schwenker, CPCO has spent over a decade in the healthcare industry with a primary focus on midwifery and birth centers. Before joining Grow Midwives as a Senior Consultant, she was the Director of Operations and Chief Compliance Officer for Larsen Billing Service. Arden has extensive experience in medical billing and coding, revenue cycle management, health care compliance and contract negotiations.

LAURA WIEGANDLaura Wiegand currently serves as the COO/Co-Founder of Birth Partners, Inc. She successfully managed the opening of the Birth Center of Bloomington-Normal (IL) Burr Ridge Birth Center (IL) and assisted with opening Beginnings Birth Center (CO).  She is in the process of opening two other birth centers.  At the national level, she serves on the AABC Industry Relations Committee and on a state level she serves on the Illinois Birth Center Task Force. She works at the state and local level to educate the public, medical communities, and health insurance providers about the benefits of the midwifery and birth center model of care including better outcomes, reduced costs for families and payors.  With over 20 years healthcare management experience, Laura has made a career of directing multiple site operations, while securing financial results and building a team that focuses on maximizing care and the entire the experience, serving as a resource for all aspects of healthcare and birth center operations.