- Business Hours: 08:00 to 05:00 | Monday to Friday
- Contact: +1 713-702-7332
- Email: info@ombcs.com
- 906 W. Medical Center Blvd, Webster TX 77598

# OBGYN Billing Services

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### Our Specialties

## OBGYN Billing Services

Specialized billing solutions for obstetrics and gynecology practices to optimize revenue, reduce denials, and streamline billing for maternity care, women's health services, and surgical procedures.

### Our Services

## OBGYN Billing Expertise

- Global maternity care package billing
- Gynecological surgery coding expertise
- Well-woman preventive service billing
- Antepartum and postpartum care coding

- Complex obstetric case billing optimization
- Fertility treatment and IVF billing
- Gynecological oncology procedure coding
- Urogynecology and pelvic floor procedure billing

### Coding Expertise

## Common OBGYN CPT Codes

Code | Description
--- | ---
59400 | Routine obstetric care including antepartum, vaginal delivery, and postpartum care
59510 | Routine obstetric care including antepartum, cesarean delivery, and postpartum care
58571 | Laparoscopy, surgical, with total hysterectomy
57288 | Sling operation for stress incontinence
58300 | Insertion of intrauterine device (IUD)
58340 | Hysterosalpingography, radiological supervision and interpretation
76801 | Ultrasound, pregnant uterus, first trimester
59025 | Fetal non-stress test
58558 | Hysteroscopy, surgical; with sampling of endometrium
58100 | Endometrial sampling (biopsy) with or without endocervical sampling

### Our Process

## OBGYN Billing Process

Our comprehensive approach ensures maximum revenue and minimal administrative burden for your obstetrics and gynecology practice.

### Patient Registration & Insurance Verification

We verify obstetric and gynecological insurance benefits and coverage before services are rendered, including:

- Maternity benefits and global package coverage verification
- Pre-authorization for gynecological surgical procedures
- Preventive service coverage confirmation
- Fertility treatment insurance verification
- Patient responsibility estimation for high-cost OBGYN procedures

### Specialized OBGYN Coding

Our OBGYN coding specialists ensure accurate code assignment for all women's health services:

- Precise coding for global maternity care packages
- Expert coding for gynecological surgeries (hysterectomies, laparoscopies)
- Accurate preventive service and screening procedure coding
- Proper modifiers for multiple procedures and partial maternity care
- Compliant documentation support for complex obstetric cases

### Clean Claim Submission

We achieve a 98% clean claim rate for OBGYN services through our thorough process:

- OBGYN-specific claim scrubbing to identify coding errors
- Verification of medical necessity documentation for procedures
- Proper timing of global package claims submission
- Accurate diagnosis-procedure code matching
- Electronic submission to all major payers within 24-48 hours

### OBGYN Denial Management

Our specialized approach to OBGYN claim denials includes:

- Expertise in appealing global maternity care denials
- Management of bundling issues common in women's health
- Documentation support for complex surgical intervention appeals
- Appeals for preventive service claim denials
- Monitoring and addressing OBGYN-specific payer policy changes

### OBGYN Practice Analytics

Our OBGYN-specific reporting and analytics help optimize your practice:

- Procedure-specific profitability analysis
- Revenue analysis by service line (obstetric, gynecologic, surgical)
- Payer-specific performance metrics for women's health services
- Denial trend analysis by procedure type
- Recommendations for revenue optimization by service area

### frequently asked questions

## OBGYN Billing FAQs

Get answers to common questions about our obstetrics and gynecology medical billing services, coding challenges, and revenue optimization strategies.

##

Our approach to global maternity package billing includes tracking all prenatal visits, proper timing of claim submission, coordination of benefits for changing insurance during pregnancy, and accurate coding for delivery methods. We also ensure proper handling of high-risk pregnancies that may require additional services beyond the global package, and manage partial package billing when patients transfer care.

##

We specialize in gynecological surgery billing, including hysterectomies, laparoscopies, and other procedures. Our approach includes verifying pre-authorizations, proper coding based on approach (open, laparoscopic, vaginal), accurate modifier usage for multiple procedures, and thorough documentation review. We ensure compliance with payer-specific guidelines while maximizing appropriate reimbursement.

##

Our well-woman preventive service billing includes proper coding for annual examinations, preventive screenings (mammograms, Pap tests), and ensuring correct diagnosis codes to support preventive vs. problem-oriented services. We stay current with changing preventive service guidelines across insurers, especially for services mandated as no-cost sharing under the Affordable Care Act.

##

We have specialized expertise in fertility treatment billing, including IUI, IVF, and related procedures. Our team verifies insurance coverage for infertility services (which varies widely), ensures proper coding for diagnostic vs. treatment services, manages cycle-based billing, and helps implement effective patient financial counseling for non-covered services. We also coordinate specialty pharmacy billing for fertility medications.

## Ready to optimize your OBGYN revenue cycle?

Contact us today for a free consultation and learn how our specialized obstetrics and gynecology billing services can benefit your practice.

Request a Free Consultation

### How can we help you?

I can help with OB-GYN billing questions, insurance information, or scheduling assistance.