OBGYN Medical Billing Services
OBGYN billing is different from most specialties. One pregnancy can involve months of prenatal visits, a delivery, postpartum care and several tests, and each payer may want them billed in a different way. Our OBGYN medical billing services take that work off your staff so claims go out correct the first time.
Why OBGYN Billing Is Harder Than Most Specialties
Most of the trouble comes from a few things:
The global obstetric package. Prenatal visits, delivery and postpartum care are usually billed together under one code, such as CPT 59400 for a vaginal delivery or 59510 for a cesarean delivery. If a patient moves to another practice mid-pregnancy, the billing has to be split correctly.
- Services outside the package. Some ultrasounds, lab work and procedures are billed separately, and they often need the right modifier.
- Pregnancy diagnosis coding. ICD-10 pregnancy codes and weeks of gestation have to match what is in the chart.
- Different payer rules. Payers do not all treat the global package the same way.
A small mistake in any of these can mean a denial or a short payment. Our coders are AAPC-certified and review claims before they are sent.
What Our OBGYN Medical Billing Services Cover
Insurance eligibility checks, including coverage changes during pregnancy
Global package and split billing
Coding review for obstetric and gynecologic procedures
Claim submission and rejection follow-up
Denial management and appeals
Payment posting and accounts receivable follow-up
Credentialing for new providers joining your practice
Common OBGYN Claim Denials
Global package billed as separate visits, or the other way around
Missing or wrong modifiers on procedures and office visits
Diagnosis codes that do not support the procedure billed
Ultrasounds billed without clear documentation of why they were needed
Patient coverage that changed during pregnancy and was not rechecked
We look for these patterns in your claims, fix the cause and work the denied claims again with proper denial management, so the same mistake does not keep costing you money.
How Our OBGYN Medical Billing Services Work
1. Free billing audit. We review your claims, denials, accounts receivable and coding, and send you a written report within 24 to 48 hours.
2. Setup. We learn how your practice bills, which payers you work with and which systems you use.
3. We run your billing. Your team keeps seeing patients while we handle claims and follow-up.
4. Weekly reports. You see what was billed, what was paid and what is still open.
Specialty-Specific Expertise in Medical Billing Services
MedicureMD’s outsourced medical billing services are tailored to meet the unique needs of healthcare providers across all specialties. From oncology to dental billing, our certified team understands the complexities of coding and claims in every field.
Frequently Asked Questions About Medical Billing Services
It is a single charge that covers routine prenatal visits, delivery and postpartum care. It is usually billed with one CPT code after delivery, though some payers want it billed differently.
We price by custom quote, based on your claim volume, the number of providers and the services you need. The free audit is a good first step.
