Specialized OB/GYN Billing Services

A typical day in a women's health clinic involves a high volume of Evaluation and Management (E/M) visits often performed alongside procedures or diagnostics. We specialize in ensuring that same-day services are reimbursed correctly.

Our team masters the use of Modifier 25 to secure payment for problem-focused visits performed during a well-woman exam. We also provide dedicated laboratory and ultrasound coding to ensure that every non-stress test and fetal monitoring session is billed to its highest specificity.

The global maternity package is the backbone of obstetric revenue. We meticulously track prenatal visits and postpartum care to ensure that CPT codes 59400 or 59510 are billed accurately upon delivery.

Our maternity billing specialists also manage split-care scenarios, such as when a patient switches insurance mid-term, ensuring that your prenatal billing reflects the actual care provided under each payer. We coordinate with hospital records to verify delivery dates and types, ensuring your claims match the facility's documentation.

Gynecological surgeries like laparoscopies, hysterectomies, and myomectomies represent high-value claims that require surgical coding precision. We manage the entire surgical global period and ensure that any assistant surgeon modifiers are applied correctly.

Additionally, we provide specialized support for fertility-related procedures, including IUI and IVF cycles, where the billing often involves complex multi-payer coordination and high patient responsibility.

Many OB/GYN practices lose revenue by not billing for the supplies and devices they provide. We handle the billing for OB-related devices, including fetal dopplers, breast pumps, and fertility supplies.

Our team manages prior authorizations and ensures that the proof of medical necessity is documented correctly to satisfy DMEPOS payer audits.