Top Obstetrics and Gynecology (OB/GYN) Billing Services
- Credentialing and Payer Enrollment guidance for new OB/GYN practitioners
- Accurate CPT/ICD-10 coding for OB/GYN surgeries to prevent claim denials
- Complete OB/GYN billing, eligibility checks to postpartum AR follow-ups
- Rapid pre-authorizations for complex OB/GYN procedures and surgeries
- 100% compliance with Medicare, NCCI, and state Medicaid billing rules
What Key Challenges Make OB/GYN Medical Billing Services Essential?
- Global Maternity Package Complexity: OB/GYN billing must correctly apply global maternity packages, which bundle prenatal, delivery, and postpartum care using a single CPT code. Misapplication can cause claim denials and revenue loss.
- CPT Code Updates for Tumor Excision: CPT codes 49203 – 49205 are replaced by codes 49186 – 49190 that require providers to report the total size of all tumors or cysts removed. This change demands more precise documentation and coding expertise.
- Insurance Verification and Prior Authorization: The differences in insurance between Medicaid and private payers make OB/GYN billing complex. Other than that, procedures like hysterectomies and LEEPs require prior authorizations supported by proper clinical documentation.
Solve OB/GYN Billing Challenges and Get Paid with Complete Solutions Revenue
At Complete Solutions Revenue, experts deliver OB/GYN medical billing services, so your practice gets paid in a timely manner. Here’s how we help your OB/GYN practice succeed on financial grounds.
Global Maternity Billing Expertise
We bundle prenatal care, delivery, and postpartum services using global OB codes like 59400, 59510 to maximize reimbursement and reduce underpayments.
Handling Multiple Modifiers
Our coders apply modifiers (‑25, ‑59, ‑76, ‑22) on OB/GYN procedures like ultrasounds, complex C‑sections, and office visits to prevent denials.
Proactive AR Follow-Up
Transcure reduces your days in AR by following up diligently with payers and resolving delays before they impact your bottom line.
Patient Eligibility Verification
We verify coverage in real time and secure authorizations before OB/GYN services are delivered to minimize denials.
All-in-one OB/GYN Medical Billing Services
Obstetrics and Gynecology practices face increasing pressure to manage billing efficiently. We offer the following OB/GYN billing services to tackle these challenges:
- OB/GYN Credentialing
- Appointment Scheduling
- Patient Eligibility Verification
- OB/GYN Surgeries Pre-Authorization
- OB/GYN Medical Coding (ICD-10, CPT, HCPCS)
- E/M Code Audits and Modifier Accuracy Checks
- Charge Entry & Electronic Claims Submission
- OB/GYN Clearinghouse Transmission
- Billing Appeal Creation
- Denial Management
- A/R Recovery and Payment Posting
Our Success in Numbers
Value of claims processed
Accounts Receivable Days
Turn Around Time (TAT)
Customer Retention
Number of Claims Processed
First Pass Clean Claims Rate
Revenue Improvement
Reduction in A/R
Our Expertise in CPT and ICD-10 Coding for OB/GYN Medical Billing
With our OB/GYN coding expertise, we ensure precise coding for prenatal visits, deliveries, gynecologic surgeries, and women’s health screenings. Our OB/GYN billing and coding expertise includes, but is not limited to:
59400
- Prenatal, vaginal delivery & postpartum care
59510
- C-Section with prenatal & postpartum care
57522
- Conization of the cervix (LEEP)
58150
- Total abdominal hysterectomy
76805
- Obstetric ultrasounds
58300
- IUD insertion
O24.410
- Diabetes in pregnancy, first trimester
Z34.80
- D&C procedure
O82
- Office visits
Expert OB/GYN Credentialing Services for Smooth Provider Enrollment
Credentialing is a critical first step for OB/GYN practitioners to begin billing insurance and receiving reimbursements. However, this process typically takes 60 to 90 days and requires over 20 hours of administrative work per provider.
Complete Solutions Revenue provides this essential service complimentary as part of our RCM package, while other companies charge between $200 to $800 per provider. We simplify credentialing for OB/GYN providers by managing the process from start to finish. To help you avoid revenue losses, our OB/GYN medical billing experts ensure accurate CAQH profile setup and continuous tracking with payers.
Procedure-Specific Obstetrics and Gynecology (OB/GYN) Medical Billing Services
OB/GYN clinics deal with patients coming for different procedures, having complex CPT and ICD codes. Complete Solutions Revenue covers all essential OB/GYN procedures to help reduce claim denials and maximize revenue, including:
Vaginal Deliveries
Cesarean Deliveries
D&C after miscarriage
Hysterectomy
Myomectomy
LEEP cervical excision
Hysteroscopy
Colposcopy
Endometrial biopsy
Obstetric ultrasound
Tubal ligation
Oophorectomy
We are adept at using these EHRs
The experts at Complete Solutions Revenue
are well-versed with the
features
and workflows of your EHR
system.
Frequently Asked Questions (FAQs)
What is the global OB package?
A global OB package is a bundled payment that covers all prenatal care, delivery, and postpartum services for a pregnancy under one comprehensive fee.
Are newborn baby charges included in the delivery bill?
No, baby’s charges, including pediatrician visits and NICU care, are usually billed separately and may have their deductible.
Can outsourcing OB/GYN medical billing services save my practice money?
Yes, outsourcing OB/GYN medical billing can save your practice money. Studies indicate that outsourcing medical billing can yield cost savings of up to 40% compared to in-house operations.
Are your billers certified and trained in OB/GYN coding?
Yes, our team of 1,100 billers and coders is CPC certified and specially trained in OB/GYN coding.
What types of services are commonly billed under OB/GYN billing?
Commonly billed OB/GYN services include the annual checkup, prenatal care, ultrasounds, laboratory work, and surgical procedures that include hysterectomies and cesarean sections.