Women's Health Revenue Infrastructure
Medbilling RCM provides specialized OB-GYN billing services covering obstetric global packages, gynecological surgical coding, delivery billing, and women's health compliance ensuring accurate claims and maximum reimbursements for OB-GYN practices.
Comprehensive OB-GYN Billing
OB-GYN billing encompasses two distinct specialties — obstetrics and gynecology — each with unique CPT codes, global packages, and payer rules. Our AAPC-certified specialists manage both with equal precision.
From antepartum care bundles and delivery coding to laparoscopic gynecological procedures and in-office GYN services, we ensure every billable service is captured, correctly coded, and paid the first time.
Schedule Revenue AssessmentOB-GYN Billing Challenges
OB-GYN billing requires mastery of two distinct coding systems, global packages, and payer-specific maternity rules. Our specialists handle all of it daily.
The OB global package bundles antepartum, delivery, and postpartum care into single codes (59400, 59510, 59610, 59618). We track each component, handle split care between providers, and ensure no billable service is missed or incorrectly bundled.
Vaginal deliveries, cesarean sections, and vaginal births after cesarean (VBAC) each require distinct CPT codes and documentation. We apply the correct delivery code for every encounter and capture add-on codes for complications when applicable.
Hysterectomies (vaginal, abdominal, laparoscopic), hysteroscopies, and colposcopies require precise coding with correct approach modifiers, NCCI compliance, and global period tracking to maximize reimbursement without audit risk.
High-risk obstetric care, antepartum-only services, and mid-pregnancy transfers require split-care CPT codes (59425, 59426) and careful coordination between delivering and non-delivering providers to ensure accurate reimbursement for each.
Robotic hysterectomies, endometrial ablations, and fertility-related services require prior authorization and detailed medical necessity documentation. We manage the full authorization cycle proactively to prevent revenue-impacting delays.
Preventive GYN visits (annual exams, Pap smears) are subject to payer-specific rules under the ACA. We correctly distinguish preventive from problem-focused visits and apply the right codes to avoid cost-sharing surprises and denials.
Revenue Control Framework
From eligibility verification to postpartum reconciliation a precision billing infrastructure built for the full obstetric and gynecology care cycle.
Verify maternity benefits, GYN coverage, deductibles, and prior auth requirements before every OB and GYN encounter
Track antepartum visit counts, delivery type, and postpartum care to apply the correct global OB CPT code every time
AAPC-certified coders apply precise CPT codes for obstetrics, GYN surgery, in-office procedures, and preventive visits
Proactive authorization management for GYN surgeries, high-risk OB care, and fertility-related procedures
Clean, compliant claims submitted electronically with real-time payer tracking and 48h follow-up on unpaid claims
EOB/ERA posting, global period reconciliation, underpayment identification, and detailed OB-GYN financial reporting
Operational Transformation
Why Medbilling RCM
Deep OB-GYN billing expertise spanning global packages, surgical GYN coding, split care, and preventive visit billing the complete women's health revenue cycle managed by specialists who understand both sides of your specialty.
Expert tracking and coding of the complete OB global package ensuring no antepartum, delivery, or postpartum component is missed or incorrectly billed.
Precise coding for hysterectomies, laparoscopies, hysteroscopies, and colposcopies with NCCI compliance and global period tracking at every step.
Correct distinction between preventive and problem-focused GYN visits ensuring maximum ACA coverage and no unexpected patient cost-sharing.
Accurate antepartum-only coding and delivering vs. non-delivering provider billing when care is shared or patients transfer mid-pregnancy.
Every coder is certified with OB-GYN-specific training. Zero CPT, ICD-10, and HCPCS coding errors across obstetrics and gynecology.
Proactive monitoring ensures OB and GYN claims are resolved before they age protecting your global package revenue.
Detailed financial reports by procedure type (OB vs GYN), payer, and provider giving full visibility into your revenue performance.
No hidden fees. Cost-effective, results-driven OB-GYN billing with full reporting visibility at every stage.
Common Questions
Direct answers about OB global packages, GYN surgical coding, split care, and prior authorization. View all specialties we serve.
The OB global package (CPT 59400, 59510, 59610, 59618) bundles all antepartum visits, delivery, and postpartum care into a single code. We track each component, ensure the correct global or split-care codes are applied, and handle unbundling when care is shared between providers or transferred mid-pregnancy.
GYN surgical billing requires precise CPT coding for hysterectomies, laparoscopies, hysteroscopies, and colposcopies with correct approach modifiers and medical necessity documentation. We apply NCCI edits, track global surgical periods, and ensure all separately billable services are captured.
When antepartum care is shared between providers or a patient transfers mid-pregnancy, we apply the correct split-care CPT codes (59425, 59426) for antepartum-only services. We coordinate between delivering and non-delivering providers to ensure each physician receives accurate reimbursement for their contribution to care.
We proactively manage prior authorizations for high-cost GYN procedures including robotic hysterectomies, endometrial ablations, and fertility-related services. Our team tracks authorization timelines, documents medical necessity, and follows up with payers to prevent revenue-impacting delays.
Revenue Assessment
Schedule a free revenue assessment and discover how our OB-GYN billing specialists can recover lost global package revenue, reduce GYN surgical denials, and accelerate your reimbursement cycles.
