OB/GYN Billing Services
OB/GYN Billing Services That Protect Every Dollar Your Practice Earns
OB/GYN billing is among the most complex in women's healthcare, global maternity packages, delivery coding, gynecologic procedure bundling, and payer-specific prenatal rules create constant denial risk. ProtoMed's certified OB/GYN billing specialists handle every claim with the precision your practice needs. Fewer denials. Faster reimbursements. More revenue.
98%+
Clean Claim Rate
We review every claim before submission, catching global package errors, modifier mismatches, incorrect prenatal visit counts, and bundling conflicts that trigger denials.
Why Choose ProtoMed
Stop Losing OB/GYN Revenue to Global Package Errors and Payer Denials
OB/GYN practices manage one of the most intricate billing landscapes in medicine. A global obstetric package must be coded correctly from the first prenatal visit through delivery and postpartum care: one wrong code, a missing modifier, or an incorrect bundling decision can collapse reimbursement on months of care. Add in the distinct coding requirements for gynecologic procedures, ultrasounds, and preventive screenings, and the margin for error is razor-thin.
ProtoMed's certified OB/GYN billing team knows the full complexity of women's health coding, global maternity billing rules, payer-specific prenatal visit counts, surgical modifier requirements, and preventive care bundling guidelines. We submit clean claims, maximize your reimbursement on every encounter, and follow up on every denial until your practice collects what it has earned.
Certified OB/GYN Billing Specialists
Every biller on your account holds active AAPC and AHIMA credentials with specialized training in obstetric global packages, gynecologic procedure coding, and women's health payer guidelines.
98%+ Clean Claim Rate
We review every claim before submission, catching global package errors, modifier mismatches, incorrect prenatal visit counts, and bundling conflicts that trigger denials.
Zero-Friction Access
We securely log into your existing EHR, Epic, eClinicalWorks, ModMed, Athenahealth, and more, with zero disruption to your daily clinical workflow.
End-to-End Claims Management
From eligibility verification and prior authorization to claim submission, denial appeals, and payment posting, we manage your complete OB/GYN billing cycle.
Proactive Denial Management
Every rejected claim is investigated, corrected, and resubmitted. We recover the OB/GYN revenue your practice is owed, including denied delivery claims and underpaid maternity packages.
Transparent Financial Reporting
Monthly reports and real-time billing data give you a clear picture of your collections, denial patterns, payer reimbursement rates, and overall revenue performance across your full range of women's health services.
OB/GYN Coding Expertise
OB/GYN Coding Expertise That Reduces Denials
OB/GYN billing spans global maternity packages, surgical procedures, diagnostic imaging, and preventive care, each with distinct CPT codes, modifier requirements, and payer-specific documentation standards. Our certified coders know every rule across the full spectrum of women's health services.
Global obstetric packages: vaginal and cesarean delivery with antepartum and postpartum care, coded correctly from first prenatal visit through discharge.
VBAC delivery packages: vaginal birth after cesarean with attempted and successful options, requiring precise package selection and documentation.
Obstetric ultrasound: first trimester, standard, limited, and follow-up with fetal biophysical, coded with correct trimester, indication, and component split.
Gynecologic procedures: hysteroscopy, D&C, endometrial biopsy, and LEEP procedures, each with distinct CPT codes and documentation requirements.
Hysterectomy coding: total abdominal, vaginal, and laparoscopic with modifier specificity for surgical approach and concurrent procedures.
Preventive medicine visits: new and established women's health patients, age-stratified, including well-woman exams, Pap smears, and contraceptive counseling.
Colposcopy and cervical procedures: with and without biopsy and endocervical curettage, coded correctly for each combination of services performed.
Specialized Services
Specialized Billing for Every OB/GYN Service
OB/GYN billing spans the full continuum of women's health, from the first prenatal visit through surgical procedures and preventive care. Each service type carries its own coding complexity and payer rules. ProtoMed's certified team handles them all.
Global Maternity & Delivery Billing
Global obstetric billing is the highest-risk area in OB/GYN. The global package must correctly bundle antepartum visits, delivery, and postpartum care, with separate billing only when care is split between providers or when complications require additional coding. We manage global maternity billing from first prenatal visit through delivery and postpartum, ensuring complete reimbursement on every case.
Gynecologic Surgery Billing
Hysterectomies, laparoscopies, hysteroscopies, and pelvic floor repairs each carry distinct CPT codes and modifier requirements. Laparoscopic procedures require careful application of surgical approach modifiers, and same-day procedures must be correctly bundled or unbundled per payer policy. We ensure every gynecologic surgical claim is coded accurately, with the documentation needed for first-pass acceptance.
Obstetric Ultrasound Billing
Obstetric ultrasounds, from standard and limited to detailed fetal anatomical surveys and biophysical profiles, must be coded with the correct trimester, indication, and technical vs. professional component split. We accurately code every ultrasound encounter and manage payer-specific prior authorization requirements to ensure your imaging revenue is fully protected.
Preventive & Well-Woman Visit Billing
Annual well-woman exams, Pap smears, contraceptive counseling, and same-day problem visits require careful modifier application to avoid bundling denials. When a patient presents for a preventive visit and a separate medical problem is addressed, modifier -25 must be applied correctly to bill both services. We ensure every preventive encounter is billed completely and compliantly.
In-Office Procedure Billing
Colposcopies, LEEP procedures, endometrial biopsies, IUD insertions, and colposcopy-directed biopsies each have distinct CPT codes and documentation requirements. We correctly apply procedure-specific codes, manage payer prior authorization for office-based procedures, and ensure every in-office encounter is billed at its full, compliant value.
High-Risk Obstetrics Billing
High-risk pregnancies involving gestational diabetes, preeclampsia, multiple gestations, or fetal anomalies often require additional antepartum testing, specialist consultations, and modified global package billing. We handle the additional coding complexity of high-risk OB cases, ensuring each service is billed correctly and separately where payer rules permit.
Our Process
How ProtoMed's OB/GYN Billing Process Works
A structured four-step process that protects your revenue across the full continuum of women's health care, from the first prenatal visit to the final postpartum claim.
Practice Audit & Onboarding
We review your current OB/GYN billing setup, identify revenue leaks from global package errors, underpaid deliveries, and unresolved denials, then securely access your existing EHR with zero disruption to your clinical operations.
Eligibility Verification & Prior Authorization
Before each patient visit, we verify insurance benefits, confirm global maternity coverage, and manage prior authorizations for imaging, procedures, and specialist referrals. Catching eligibility and coverage issues upfront eliminates the most preventable source of OB/GYN claim denials.
Claim Submission & Payer Follow-Up
Clean, payer-compliant OB/GYN claims are submitted electronically on time to all major payers, commercial insurance, Medicare, and Medicaid. We track every claim, follow up persistently, and appeal every denial, including global package disputes, delivery coding rejections, and ultrasound authorization denials.
Payment Posting & Revenue Reporting
Payments are posted accurately, underpayments are flagged and contested, and you receive clear monthly reports tracking your collections, denial patterns, payer reimbursement rates, and overall revenue performance across maternity and gynecology service lines.
Ready to Protect the OB/GYN Revenue Your Practice Has Earned?
Let ProtoMed's certified OB/GYN billing specialists handle your complete revenue cycle: from global maternity packages and delivery coding to gynecologic procedures and preventive care billing. We'll audit your current billing, identify what's being missed, and start recovering it.
Get your free OB/GYN billing audit today. A ProtoMed expert will reach out within 24 hours.