Specialized OBGYN & Gynecology Billing Services
Expert medical billing solutions designed specifically for OBGYN and gynecology practices. Our specialized team understands the unique coding and compliance requirements for obstetrical care, gynecological procedures, and women's health services.
Comprehensive Billing Solutions for OBGYN Practices
Specialized Coding Expertise
Expert handling of complex OBGYN-specific CPT and ICD-10 codes including obstetrical packages, gynecological procedures, and preventive services.
Revenue Optimization
Maximize your practice's reimbursements through comprehensive fee schedule reviews, carrier contract analysis, and strategic billing procedures.
Global Package Management
Efficient tracking and billing of obstetrical global packages, including appropriate handling of complications, additional services, and multiple gestation.
Denial Management
Proactive identification and resolution of claim denials with our specialized knowledge of OBGYN-specific denial patterns and payer requirements.
OBGYN Billing Challenges We Solve
Global OB Package Complexity
Obstetrical care involves complex global package billing with antepartum, delivery, and postpartum components. Our specialists understand the nuances of unbundling when appropriate and coding for complications.
Preventive vs. Problem-Oriented Services
We help navigate the complex distinction between preventive well-woman exams and problem-oriented visits, ensuring proper documentation and coding when both services are provided.
Surgical Procedure Coding
OBGYN practices perform numerous surgical procedures. Our team ensures each procedure is properly documented and coded with appropriate modifiers to maximize legitimate reimbursement.
Insurance Verification for Maternity
We manage the complex task of verifying maternity benefits and tracking eligibility changes throughout pregnancy to ensure proper coverage for the entire global period.
Benefits of Specialized OBGYN Billing
Increased Collections by 15-22%
Our specialized team ensures accurate coding and billing for all OBGYN services, resulting in fewer denials and increased reimbursement rates.
Regulatory Compliance Assurance
Stay protected with our strict adherence to HIPAA regulations and OBGYN-specific compliance requirements, safeguarding your practice and patients.
Focus on Patient Care
By handling your billing operations, we free up your OBGYN staff to focus on what matters most - providing exceptional women's healthcare to your patients.
Comprehensive Analytics & Reporting
Access detailed financial reports through our secure portal, giving you full visibility into your OBGYN practice's performance metrics and procedure profitability.
Our OBGYN Billing Process
Practice Assessment
We analyze your current billing workflows, pain points, and revenue cycle to identify opportunities for improvement specific to OBGYN services.
Customized Implementation
Our team integrates with your EHR system and establishes tailored processes for your specific OBGYN practice needs, including global package tracking.
Specialized Coding & Submission
Expert coders handle procedure documentation, proper CPT/ICD-10 assignment, and submit clean claims within 24-48 hours of service.
Payment Posting & Reconciliation
We accurately post all payments, address denials immediately, and reconcile accounts for maximum collection.
Ongoing Performance Monitoring
Regular analysis of key metrics, denial patterns, and revenue trends with actionable recommendations for continuous improvement.
Frequently Asked Questions
How do you handle global obstetrical package billing?
Our specialists are trained in the complex documentation and coding requirements for obstetrical care, including proper global package management, tracking of included/excluded services, and appropriate handling of complications, multiple gestations, and changes in coverage during the pregnancy.
Can you help with both obstetrical and gynecological procedure billing?
Yes, we handle the full spectrum of women's health services billing. We implement workflows to properly track obstetrical global packages while also managing efficient billing for gynecological procedures, preventive services, and office visits with appropriate modifier usage and documentation.
How does your service handle preventive services vs. problem-oriented visits?
We implement a proactive approach to coding and billing when both preventive and problem-oriented services are provided on the same day. This includes proper modifier usage, distinct documentation requirements, and payer-specific rules to ensure maximum appropriate reimbursement.
What reporting will I receive about my practice's performance?
You'll receive monthly comprehensive reports including key metrics such as collection rates, days in A/R, procedure volumes, denial analysis, and provider productivity comparisons. We also provide specific obstetrical package tracking reports and gynecological procedure profitability analysis - all accessible through our secure online portal.
Ready to Optimize Your OBGYN Billing?
Schedule a free consultation with our OBGYN billing specialists and discover how we can help increase your collections while reducing administrative burden.
OBGYN Billing Resources
Complete OBGYN Billing Guide
Learn about the unique challenges and best practices for OBGYN billing.
Maximizing Obstetrical Care Reimbursement
Strategies to optimize global package billing and management.
Well-Woman Exam Billing Guidelines
Navigate the complexities of preventive services billing in women's health.