OB/GYN Medical Billing Services
Med Bridge LLC handles OB/GYN medical billing for obstetricians, gynecologists, and women's health practices accurate CPT/ICD-10 coding, global OB package management, and denial recovery. Get a free billing analysis.
OB/GYN billing is two specialties in one, and both come with their own traps. OB runs on global packages that bundle prenatal visits, delivery, and postpartum care into a single payment. GYN runs on surgical codes, preventive visits, and procedures that get denied when the documentation doesn't line up. Add in modifier 25 on same-day visits, high-risk pregnancy coding, and payer rules that change by trimester, and you've got a revenue cycle that needs a specialist. Med Bridge LLC takes the whole OB/GYN revenue cycle off your plate, from eligibility checks through denial appeals, so you get paid for the care you provide.
OB/GYN Medical Billing Services
OB/GYN Billing Service Specifications
Complete field-by-field overview for ob gyn practices
| Service Type | OB/GYN Medical Billing & Revenue Cycle Management |
|---|---|
| Practices Served | Independent OB/GYNs, OB/GYN group practices, women's health clinics, midwife practices, maternal-fetal medicine practices, gynecologic oncology practices, fertility clinics, hospital OB/GYN departments |
| Services Covered | Prenatal visits, global OB packages, delivery (vaginal and cesarean), postpartum care, annual well-woman exams, Pap smears, colposcopy, hysteroscopy, laparoscopy, hysterectomy, sterilization procedures, infertility treatment, ultrasound, high-risk pregnancy management |
| Coding Systems | CPT, ICD-10, HCPCS — with expertise in global OB codes (59400–59622), antepartum and postpartum codes, modifier 25, 50, 51, 59, RT/LT, and medical necessity documentation |
| Pricing | Percentage of collections no hidden fees, no setup charges |
| EHR/PMS Compatibility | Epic, Cerner, ModMed, eClinicalWorks, athenahealth, NextGen, Allscripts, Greenway |
| Compliance | HIPAA-compliant, SOC 2 Type II certified |
What Is OB/GYN Medical Billing?
OB/GYN billing medical services cover the full revenue cycle for women’s health practices: eligibility verification, charge capture, CPT/ICD-10/HCPCS coding, claim submission, payment posting, and denial management. But OB/GYN billing isn’t general medicine billing with different codes. The global OB package and trimester rules are their own world.
Our OB/GYN Revenue Cycle Management Process
Every claim goes through a six-step process built to stop denials before they happen, not chase them after.
Eligibility & Insurance Verification
We check coverage, co-pays, deductibles, and maternity benefits before the patient arrives. Pregnancy coverage, global OB benefits, and delivery coverage get verified separately, since many plans have specific maternity rules.
Charge Capture
Every service prenatal visits, deliveries, postpartum care, well-woman exams, GYN procedures, ultrasounds, infertility treatments gets turned into billable line items with correct global package tracking and trimester logic.
OB/GYN-Specific Coding
Certified coders apply CPT, ICD-10, and HCPCS codes: global OB codes (59400–59622) matched to delivery type, antepartum visits (59425, 59426) matched to documentation, and modifiers 25/50/51/59 applied correctly with accuracy.
Claim Scrubbing & Submission
Before anything leaves the system, we catch global package violations, antepartum count errors, modifier mistakes, medical necessity gaps, and NCCI edits. Clean claims go out within 24 hours.
Payment Posting & Remittance Reconciliation
ERA/EOB posting gets matched against expected reimbursement. Underpayments on delivery, surgical, and OB/GYN claims are identified and appealed promptly, not written off. Every payment is reviewed to protect revenue and improve collections.
Denial Management & Appeals
Denials get worked within 24–48 hours. Appeals go out with operative notes, coding rationale, and regulatory citations. We track why denials happen so we can fix the root cause upstream.
Eligibility Verification
We check coverage, co-pays, deductibles, and maternity benefits before the patient arrives. Pregnancy coverage, global OB benefits, and delivery coverage get verified separately, since many plans have specific maternity rules.
OB/GYN-Specific Coding
Certified coders apply CPT, ICD-10, and HCPCS codes: global OB codes (59400–59622) matched to delivery type, antepartum visits (59425, 59426) matched to documentation, and modifiers 25/50/51/59 applied correctly with accuracy.
Payment Posting
ERA/EOB posting gets matched against expected reimbursement. Underpayments on delivery, surgical, and OB/GYN claims are identified and appealed promptly, not written off. Every payment is reviewed to protect revenue and improve collections.
Charge Capture
Every service prenatal visits, deliveries, postpartum care, well-woman exams, GYN procedures, ultrasounds, infertility treatments gets turned into billable line items with correct global package tracking and trimester logic.
Claim Scrubbing & Submission
Before anything leaves the system, we catch global package violations, antepartum count errors, modifier mistakes, medical necessity gaps, and NCCI edits. Clean claims go out within 24 hours.
OB/GYN Procedure & Specialty Coding Depth
General billing companies treat OB/GYN like one big category. We treat obstetrics and gynecology as two separate workflows with their own rules.
Global OB Package Billing
Global OB codes (59400, 59510, 59610, 59618) bundle prenatal, delivery, and postpartum care. We track the package and make sure no prenatal visits get billed separately once the global code is active.
Antepartum & Postpartum Billing
When the global package doesn't apply, antepartum visits (59425, 59426) bill by count, and postpartum care bills separately. We make sure visit counts match documentation.
Well-Woman Exam Billing
Annual well-woman exams require preventive coding and modifier 25 when a problem visit happens the same day. We make sure preventive and problem visits are coded separately.
Infertility & Fertility Treatment Billing
Infertility treatment often involves non-covered services and patient responsibility. We handle the coding, consent documentation, and patient billing rules these services need.
High-Risk Pregnancy Billing
High-risk pregnancies need additional monitoring and specialist coding. We make sure diagnosis codes reflect the risk condition and extra services are documented as medically necessary.
Vaginal & Cesarean Delivery Billing
Vaginal delivery, cesarean delivery, and VBAC each have their own codes and global periods. We make sure the delivery code matches the operative note.
GYN Surgical Procedure Billing
Hysterectomy, laparoscopy, hysteroscopy, and sterilization procedures each have their own codes and global periods. We make sure GYN surgical claims are coded right.
Ultrasound & Diagnostic Billing
Obstetric and gynecologic ultrasound require correct component coding and documentation of medical necessity. We make sure ultrasound claims hold up.
Prior Authorization & Compliance
Prior authorization matters for high-risk pregnancy services, GYN surgery, and infertility treatment. We treat it as a core part of the job, not a side task.
Services that commonly require prior auth:
High-risk pregnancy monitoring
GYN surgical procedures
Advanced imaging (MRI, CT)
Infertility treatment
Genetic testing
Some ultrasounds
How we handle it:
Real-time eligibility and authorization tracking we know which payers require auth, which don't, and which have their own clinical criteria
Prior auth requests submitted with documentation that meets payer criteria the first time
Maternity benefit coordination so global OB packages are set up correctly
Follow-up on pending authorizations so treatment doesn't get delayed
Compliance with the CMS Interoperability and Prior Authorization final rule for turnaround times
Compliance monitoring:
HIPAA-compliant workflows and data security
Documentation audits to keep global OB billing, antepartum counts, and modifier 25 defensible
Payer-specific rule tracking for maternity benefits, high-risk pregnancy, and GYN surgery
Annual coder training on CPT updates and OB/GYN coding changes
Why Med Bridge LLC for OB/GYN Billing Services?
OB/GYN-Specific Certified Coders
Our coders are certified (CPC, CCS) and work in OB/GYN billing, not general medicine. They know global OB packages, antepartum visit counting, high-risk pregnancy coding, and GYN surgical modifier rules.
Faster Reimbursement
97.9% clean claim rate. 24-day average A/R. 48-hour claim turnaround. These aren't marketing numbers they're our actual performance metrics across 180+ OB/GYN providers.
Data Security & Compliance
SOC 2 Type II certified. HIPAA-compliant. We keep rigorous audit trails and send regular reports so you always know where your money stands.
Scales With Your Practice
Solo OB/GYN? Multi-provider group? Women's health clinic? Our workflows scale without changing your EHR or adding staff.
Real Numbers From Real OB/GYN Practices
These numbers come from our active OB/GYN clients. We don't publish wishful benchmarks we publish results.
Average Days in A/R
Claim Turnaround Time
Clean Claims Rate
Average Collections Increase
Denial Rates
Prior Authorization Approval
Payment posting accuracy
First-pass acceptance rate
In-House vs. Outsourced OB/GYN Billing
| Cost Category | In-House Billing | Med Bridge LLC Outsourced |
|---|---|---|
| Biller salary + benefits | $50,000–$70,000 / year | — |
| Billing software + clearinghouse | 8,000–$16,000 / year | Included |
| OB/GYN Coding Training | $3,000–$6,000/year | Included |
| Denial write-offs | 6–11% of revenue | 4.0% denial rate |
| Total annual cost | $65,000–$100,000+ | Percentage of collections no hidden fees |
| Net annual savings | — | $30,000–$60,000+ |
Frequently Asked Questions
OB/GYN billing involves global OB packages that bundle prenatal, delivery, and postpartum care, antepartum visit counting, high-risk pregnancy coding, modifier 25 for same-day preventive and problem visits, and GYN surgical global periods. General billers miss these, and denials follow.
Yes. We work with independent OB/GYNs, OB/GYN group practices, women's health clinics, midwife practices, maternal-fetal medicine practices, and gynecologic oncology practices. Our workflows cover both OB and GYN billing.
You get monthly dashboards: clean claim rate, A/R days, denial rate by payer, claim turnaround time, global OB package tracking, and collections by service type. We also run ad-hoc reports for specific payers or service categories.
Denials get worked within 24–48 hours. Appeals include clinical documentation, coding rationale, and regulatory citations. We track denial reasons so we can fix root causes upstream, especially global package errors and modifier 25 gaps that recur in OB/GYN.
Epic, Cerner, ModMed, eClinicalWorks, athenahealth, NextGen, Allscripts, and Greenway. If you use something else, we can work with your existing workflow or suggest an integration.
Pricing is a percentage of collections. No setup fees. No software fees. No hidden charges. You pay when you get paid.
We track authorization requirements per payer, submit requests with documentation that meets criteria, and coordinate with scheduling so authorizations are in place before the procedure. We follow the CMS Interoperability and Prior Authorization final rule for turnaround times.
Most practices are fully onboarded within 30–45 days. We handle the transition from your current billing company or in-house team, including EHR access, payer enrollment, global OB package setup, and OB/GYN coding configuration.
