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The majority of these infants often require intensive care, and services overlap when they need services from multiple specialties. Things become more puzzling when more than one baby is born in one obstetric encounter as each infant needs the specific medical chart, care plan and cost planning, thus creating a complex neonatology billing maze for you. These cases always demand precise documentation, correct codes, and seamless coordination to minimize the potential for expensive errors. While neonatal care is critical to survival, the complexity and cost of billing for multiples make it one of the most challenging areas in medical billing today.