Ultrasound Interpretation · Maternal-Fetal Medicine

Your scans, read by maternal-fetal medicine physicians.

Obstetric ultrasound is the single imaging modality MFM physicians train longest to master. Ouma puts that expertise behind your scans, reading remotely for OB practices, MFM groups, mobile-ultrasound companies, and midwives nationwide. You get higher diagnostic quality, less liability for the referring provider, and access to reimbursement you may not be capturing today.

100% board-certified MFM on every readReads in 24 business hoursWorks with your PACS or oursLicensed in all 50 states
34.5%1of the fetal anomalies MFM readers found were on scans first marked normal. Cardiac anomalies are the category most often missed on non-specialist reads.
~18months of MFM subspecialty training is focused purely on pregnancy imaging.2
24business hours for a routine read, 2 hours for a stat.3
1Kern-Goldberger AR, Haeri S, Lindsley W, Srinivas SK. “Examining ultrasound diagnostic performance improvement with utilization of maternal-fetal medicine tele-interpretation.” Am J Obstet Gynecol MFM. 2021;3(5):100389. Of 6,403 obstetric ultrasounds at 11 practices and imaging centers, MFM physicians reading by telemedicine diagnosed a fetal anomaly in 310. In 34.5% of those, the sonographer had marked the scan normal. The rate was highest for cardiac anomalies. PubMed
2MFM subspecialty training duration: roughly 18 months of fellowship training focused on obstetric imaging, versus a few months of pregnancy-imaging exposure in radiology and one to two months in OB/GYN residency. Ouma clinical leadership and program description.
3Ouma program data, confirmed by Ouma clinical leadership 2026-09-16: routine obstetric ultrasound reads are returned within 24 business hours and stat reads within 2 hours; 107 client sites served, ranging from community midwives attending home births and freestanding birth centers to OB/GYN practices, mobile imaging companies, IDTFs, and large health systems.

At a glance

Ouma’s OB ultrasound reads at a glance

Sina Haeri, MD

Medically reviewed by Sina Haeri, MD, MHSA, maternal-fetal medicine physician, on September 18, 2026. Updated September 20, 2026.

Who reads
Every study is read by a board-certified maternal-fetal medicine physician.
Turnaround
Routine reads come back within 24 business hours. STAT reads come back within two hours, at no extra charge.
What it costs
A flat fee per study, charged to your practice. No setup fee, no subscription, and no minimum volume. The rate sheet lists each study type.
Who bills the patient
You do. Ouma never bills your patient or their health plan.
Images
Your PACS or reporting platform, or ours. We work with ViewPoint, Astraia, Tricefy, Studycast, Sonio, and Biotics AI.
Sonographers
ARDMS-registered preferred. We provide the protocol and worksheet for each exam type, in line with AIUM, ACOG, SMFM, and ISUOG guidance.
Orders
We ask that every diagnostic study carry an order from a licensed clinician who will manage the result.
The report
A final report signed by the reading physician, returned to you and, where you want it, to the ordering clinician.
Where
Ouma is licensed to practice in all 50 states.
Who uses it
107 sites as of September 2026, from community midwives and birth centers to OB/GYN practices, mobile imaging companies, IDTFs, and health systems.

Two things we bring

Quality for your patients. Revenue for your practice.

Quality

Reads that catch what others miss

The subspecialist best trained on pregnancy imaging reads every scan.

  • MFM physicians spend roughly 18 months of subspecialty training focused on obstetric imaging, far beyond a radiologist's few months or an OB/GYN's one to two. For the pregnant patient, MFMs are the imaging experts.2
  • The data backs it up. In a study of 6,403 scans at 11 practices, 34.5% of the fetal anomalies that MFM physicians diagnosed by tele-interpretation were on scans a sonographer had marked normal. The rate was highest for cardiac anomalies.1
  • Ouma follows AIUM, SMFM, ACOG, and ISUOG standards. The read sits with the subspecialist best trained to make it, raising diagnostic quality and reducing the referring provider's liability.

Revenue

Reimbursement you can't currently capture

The scans get read by experts, and the reads stay billable to you.

  • Obstetric ultrasound is reimbursed by level. A practice can only bill for the scan levels it is credentialed and equipped to perform and read. Many OB practices lack the subspecialty expertise for higher-level scans.
  • Partnering with Ouma opens that revenue back up. Patients get advanced, MFM-level imaging read in-house instead of referred out, and the associated reimbursement stays with your practice.
  • Quality and revenue come from the same decision. The scans get read by the experts, and the reads get billed where the care happens.
1Kern-Goldberger, Haeri et al., AJOG MFM, 2021 (PMID 33957316).
2MFM subspecialty training duration, Ouma clinical leadership.

How it deploys

We adapt to how you already work

Ouma is built to slot into your existing imaging workflow rather than force a new one on you. Two places matter most.

Your reading software, or ours

Already running a PACS or reporting platform like ViewPoint or Astraia? We read natively inside your existing solution, no migration, no new logins for your team.

Don't have one, or don't want to manage it? We deploy our own cloud-based PACS, so the technology is our problem, not yours. Scans in, expert reads back.

Your sonographers, scanning at an MFM level

Ouma does not employ sonographers. Your sonographers stay your sonographers. What we add is the expertise behind them.

Our MFMs meet regularly with your scanning team, review studies, and give direct feedback. Over time your imaging gets better at the source, not just at the read.

For imaging practices

For independent and mobile ultrasound practices

You own the machine and perform the exams. We handle the part you can’t do yourself — the physician read and the signed report.

Read by an MFM physician

Every study is interpreted by a board-certified maternal-fetal medicine physician.

24 hours, or 2 for STAT

Routine reads come back within 24 business hours. STAT within two, at no extra charge.

You keep the billing

A flat fee per study to your practice. We never bill your patient or their health plan.

Your PACS, or ours

Send images and the worksheet through the system you already use, or we set you up on ours.

One thing we ask

We ask that every diagnostic study carry an order from a licensed clinician who will manage the result.

That isn't red tape. If a scan shows a miscarriage, an ectopic pregnancy, or a major anomaly, the patient needs a clinician on the ground who can act on it that day — not a trip to the nearest emergency room. If you don't yet have an ordering clinician, put that relationship in place first. What has to be in place for a diagnostic scan.

107

sites read with Ouma today

Community midwives attending home births, freestanding birth centers, OB/GYN practices, mobile imaging companies, IDTFs, and large health systems — from a handful of studies a week to several hundred a month.

Request a rate sheet →

For midwifery

For midwives and birth centers

A midwifery practice or freestanding birth center runs into the same wall from two directions.

Someone qualified to read the scan

Your clients get dating, growth, anatomy, and BPP studies. Somebody has to interpret them at a subspecialist level, and sign the report.

An MFM physician you can reach

When a report raises a question, you need maternal-fetal medicine on the line — without sending a client hours away for an in-person consult.

Ouma does both

Reads come back signed. Questions get a physician.

The read

Our MFM physicians read dating, growth, anatomy, and BPP studies and return a signed report within 24 business hours — or within two hours when it's STAT.

The consult

When a finding needs a conversation, the same physicians see your client by video, review the images with them, and send the plan back to you — so care stays where they started.

The workflow

How a read works

Five steps, from your exam room to a final signed report. You scan and send; we read, report, and consult.

Your practice

01

You scan

Your sonographer performs the study to the protocol and worksheet we provide, in line with AIUM, ACOG, SMFM, and ISUOG guidance.

Your practice

02

You send

Images and the worksheet go through your PACS or ours.

Ouma

03

We read

A board-certified MFM physician interprets the study within 24 business hours, or two hours for a STAT read. Anatomy scans are read to the 76811 standard.

Ouma

04

You get the report

A final signed report returns to you and, where you want it, to the ordering clinician.

Ouma + you

05

If something needs attention

The report says so and the ordering clinician handles the next step. Where a patient needs an MFM consult, our physicians see them by video.

Where we work

Wherever the scan happens, we’re the reader

Lighten an MFM practice's read load

Already have MFMs? We take interpretation volume off their plate so your physicians can focus on the patients in front of them, added read capacity without added headcount.

Inside an OB/GYN office

We embed as the reader behind your office's scans, so patients get imaging and expert interpretation in one place. Your OBs shed the liability and skill burden of high-level reads.

Into maternity deserts

This is what Ouma has mastered. Patients get scanned close to home, but there is often no reliable expert nearby to read the study. We are that reader.

Study spotlight

We didn't just claim MFM reads catch more. We measured it.

The case for MFM interpretation is not a marketing line. It is published evidence, and Ouma helped write it.

In a peer-reviewed study of 6,403 obstetric ultrasounds across 11 practices and imaging centers, MFM physicians reading by telemedicine diagnosed a fetal anomaly in 310. About a third of those anomalies (34.5%) were on scans the sonographer had marked normal. The rate was highest for fetal cardiac anomalies.

Ouma's CEO, Dr. Sina Haeri, is a co-author. This is the exact problem our interpretation service exists to solve. For Ouma's more recent research on inpatient tele-MFM, see the SMFM 2026 presentation.

American Journal of Obstetrics & Gynecology MFM
Original Research · 2021 · Obstetric Ultrasound

Examining ultrasound diagnostic performance improvement with utilization of maternal-fetal medicine tele-interpretation

Kern-Goldberger AR, Haeri S, Lindsley W, Srinivas SK.
Ouma Health · University of Pennsylvania
Key finding
34.5% of the anomalies found on MFM tele-interpretation were on scans first marked normal.

Billing

What a read costs, and how you bill

You keep the billing relationship. Practices that bill insurance bill the study; practices that don't — an elective studio moving into diagnostic work, say — collect from the patient directly. Either way, Ouma charges your practice a flat fee per study for the interpretation. We don't bill your patient and we don't bill their health plan.

Because the fee doesn't move with what you collect, your cost per study is known before you scan. There are no setup fees, no subscription, and no monthly minimum. Practices start with a handful of studies and grow from there, and a STAT read carries no extra charge.

Practices that send the patient out for a detailed evaluation lose the study and the visit along with it. Keeping the scan in house and sending only the read out keeps both.

More on what a referral costs a practice →

What to confirm

CPT is a registered trademark of the American Medical Association. This is general information, not coding or billing advice. Verify current codes and payer policy before submitting claims.

Standards

The standards our reads follow

Ouma follows the practice parameters and guidance published by these four bodies. Following a standard and being accredited by the organization that publishes it are different things, and we claim the first.

AIUM

American Institute of Ultrasound in Medicine, practice parameters for obstetric ultrasound examinations

SMFM

Society for Maternal-Fetal Medicine, guidance on detailed fetal anatomic evaluation

ACOG

American College of Obstetricians and Gynecologists, obstetric imaging guidance

ISUOG

International Society of Ultrasound in Obstetrics and Gynecology, practice guidelines

Asking a remote interpretation partner which standards its reads follow, and who is accountable for turnaround, separates vendors more reliably than any feature comparison.

How remote reads work for a clinic →

Partner spotlight

The read behind the desert

Many of the 107 sites Ouma reads for are places where patients can get a scan but have no reliable expert to interpret it.3 The nearest MFM can be a two- to four-hour drive away.

Ouma is the reader on the other end of those scans. A patient in a maternity care desert gets subspecialty-level interpretation without the drive. It's the same gap our workforce research documents: 90.3% of U.S. counties with reported preterm birth data have no practicing MFM physician,4 and roughly 35% are maternity care deserts.5

It's also why we partnered with Pulsenmore, whose FDA-authorized home-ultrasound probe lets patients perform basic scans from home under MFM supervision. The device puts the scan in the patient's hands; Ouma puts the expert behind the read.

In partnership with

Pulsenmore

An FDA-authorized home-ultrasound probe. Patients scan from home; Ouma MFMs read the images.

→
Scans in. Expert reads back.
Read the announcement →
3Ouma program data, confirmed by Ouma clinical leadership 2026-09-16: routine obstetric ultrasound reads are returned within 24 business hours and stat reads within 2 hours; 107 client sites served, ranging from community midwives attending home births and freestanding birth centers to OB/GYN practices, mobile imaging companies, IDTFs, and large health systems.
4Greiner AL, Haeri S, Nidey NL. “Preterm Births and Maternal-Fetal Medicine Physician Workforce Location in the United States.” Am J Perinatol, 2025. Of 2,981 U.S. counties with reported preterm birth data, 90.3% had no practicing MFM physician. PubMed
5March of Dimes. “Nowhere to Go: Maternity Care Deserts Across the U.S.” 2024. About 35% of U.S. counties are maternity care deserts.

Pairs well with

The entry point into the broader teleMFM relationship

Ultrasound interpretation is often where a practice first works with Ouma, and it opens the door to the full subspecialty. These services extend the same MFM expertise across the rest of the pregnancy.

Frequently asked

Common questions about remote OB ultrasound interpretation

Our imaging partnerships team can set up reads in your PACS or ours.

What does a read cost?
Ouma charges your practice a flat fee per study for the interpretation. The rate depends on the mix of study types and your monthly volume, and it doesn't change with what you collect from the patient or the plan. There are no setup or subscription fees. Ask for the current rate sheet and it comes with a sample report.
Do rates differ by study type?
Yes. Dating and viability, growth, anatomy (76805), detailed anatomy (76811), and biophysical profiles are priced separately, because the reading time differs. The rate sheet lists each one.
How fast do reports come back?
Routine studies are read within 24 business hours. STAT reads come back within two hours and carry no extra charge; we ask that STAT be used when a patient's care needs it.
Is there a minimum monthly volume?
No. Practices start with a handful of studies and grow into volume tiers as they add clients.
Can you work with my PACS?
Yes. We work with the PACS, reporting, and image-sharing tools practices already use, including ViewPoint, Astraia, Trice (Tricefy), Studycast, Sonio, and Biotics AI, or we can set you up on ours. Either way your images stay in one place.
What credentials does my sonographer need?
We prefer ARDMS-registered sonographers. If your sonographer holds a different credential, tell us on the form and we'll confirm.
Do I need an ordering clinician?
We ask that every diagnostic study carry an order from a licensed clinician who will manage the result, so that a miscarriage, an ectopic pregnancy, or a major anomaly reaches someone who can act on it instead of an emergency room. If your practice already works with ordering physicians or midwives, their orders flow through as they do today. If you run an elective studio and don't have one yet, that relationship comes before the read partner. Our guide to adding diagnostic OB ultrasound explains what it looks like.
What happens if you find something?
The report says so clearly and goes to the ordering clinician, who manages the next step with the patient. Where a patient needs a maternal-fetal medicine consult, our physicians can see them by video so the next step doesn't wait on a referral.
Are your physicians licensed in my state?
Ouma is licensed to practice in all 50 states.
Do I get a signed report I can give the ordering clinician?
Yes. Every study returns a final report signed by the reading maternal-fetal medicine physician, in a format you can send to the ordering clinician and keep in the patient's record.
Who bills what?
You do. If your practice bills insurance, you bill the study; if you're cash-pay, you collect from the patient. Ouma charges your practice a flat fee per study for the interpretation and does not bill your patient or their plan. How you code it depends on your setup; confirm that with your biller.

From Ouma Answers

How do remote ultrasound reads work for a clinic?

The short answer

The clinic keeps the scan, the patient, and the technical side. What gets sent out is the interpretation.

Read the full answer →

Medically reviewed by Sina Haeri, MD, MHSA