Our team of certified medical billers and coders offers specialized OBGYN medical billing services. We handle your billing and claims so your practice stays protected, letting you focus on caring for women, newborns, and families.
Paperwork should not slow your day. Our OB/GYN billing workflow makes it simple, ensuring technical work is completed accurately and efficiently the first time. Before the visit, we run eligibility checks to confirm benefits and prior authorizations, so you know what the plan will pay. After the visit, we perform structured charge capture, mapping services to the correct CPT/HCPCS codes with the right modifiers and units, then submit claims electronically. Each claim is scrubbed against payer-specific edit rules (including NCCI/MUE and plan policies) to catch errors before they go out, which lowers denials.
We also flag and bill all add-on services and supplies associated with the encounter, ensuring no revenue is left unaccounted for. Finally, our experts track accounts receivable aging, denial reasons, first-pass yield, and collection trends, providing a clear picture of cash flow and areas for improvement. This is our complete set of ob gyn medical billing and coding services designed for accuracy and results. The result is less rework, fewer write-offs, and faster, more consistent payments.
OB/GYN billing is different from general medical billing. Global maternity bundles, changing payer rules, and numerous procedure codes can make it easy to overlook revenue. One small mistake can delay payment for weeks. That is why choosing a billing partner with expertise in OB/GYN is important.
As an OB-GYN billing company, MedCare MSO brings proven workflows for both gynecology and obstetrics billing services. We verify benefits, confirm authorizations, and submit claims right the first time. When payers push back, we appeal fast with clear clinical support. In short, our billing experts for OB-GYN help you avoid write-offs and keep income predictable.
Prenatal, delivery, and postpartum care are often billed as a single global package. A denial at this stage can delay reimbursement for months. We track each visit and add-on service (ultrasounds, inductions, and C-sections) and bill them accurately.
Plans may limit parts of OB or GYN care. Some procedures require prior authorization, while others require additional notes to demonstrate medical necessity. We confirm benefits, set clear estimates for families, and submit complete claims.
OB/GYN care happens in clinics, hospitals, birth centers, ASCs, and neonatal units. We apply the correct place-of-service and facility rules to ensure that services for women and newborns are paid the first time.
Care for hormonal imbalance, infertility, endometriosis, and minimally invasive surgery needs precise coding and modifiers. Our medical billing for obgyn ensures documentation supports medical necessity and the claim reflects all work performed.
Obstetrics and gynecology services are often subject to complicated payer rules and coverage limits. Insurance plans may cover some services but exclude others, making those policies confusing. That’s why it’s essential to explain coverage limits to patients when they book an appointment, which helps prevent surprise bills later. Our OB-GYN billing team knows how to navigate these complex policies, clearly explain what’s covered and what isn’t, and follow OBGYN billing guidelines to keep you compliant and reduce payment delays.
Every OB-GYN practice operates a little differently, so we create a plan tailored to yours. Pick only the services you need and keep the rest in-house. We integrate with your EHR, establish clear SLAs/KPIs, and scale up or down as your volume fluctuates:
Strong claims management keeps cash moving in your OB-GYN practice. We operate a smooth, end-to-end process that prevents denials and expedites payments. Here are the factors that matter most:
Protecting your revenue is our primary focus, and our OBGYN medical billing services let you focus on patient care instead of paperwork, coding, audits, and payer follow-ups. Practices working with us see a 98.5% first-pass clean-claim rate, 30% fewer A/R days, 25% higher cash collections, 40% better practice efficiency, and 60% fewer claim denials, so cash flows faster and your team spends more time with patients.
Our services are comprehensive and fully customizable. Use the full program or pick the services you need. We combine proprietary software for patient scheduling and insurance verification with certified OB-GYN billers who stay current with annual code changes and payer rules. That combination reduces rejections and denials; when denials do occur, our specialists quickly identify the root cause and appeal to recover payments.
OB/GYN billing includes global maternity bundles, strict payer rules, multiple care settings, and many specialty codes. It requires precise documentation and coding to safeguard revenue.
Yes. We manage full gynecology billing services and obstetrics billing services, including newborn-related claims when needed.
Absolutely. We bill therapies for hormonal imbalance, infertility workups, pelvic pain, endometriosis, and minimally invasive surgery with correct modifiers and medical necessity support.
Yes. We integrate with leading systems, set payer-specific edits, and build templates that match your workflows for faster, cleaner claims under our obgyn medical billing services.
We verify benefits up front, code accurately, submit clean claims daily, and act on denials within 24-48 hours. Our dashboards show root causes, so we fix problems for good.
Partner with billing experts for obgyn to protect cash flow from eligibility to appeals.
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