Our Story
Why We Chose to Specialize — and Why It Matters for Your Revenue
OB/GYN billing is unlike any other specialty. A single delivery generates multiple CPT codes — 59400, 59510, 59409 — depending on whether it's vaginal or cesarean, the payer's global period rules, and whether antepartum care was split. One error in global maternity package assignment can mean losing $800–$2,200 per patient.
We built OBGYNBillingPro after watching generalist billing companies consistently underperform for OB/GYN practices — not from incompetence, but from lack of specialization. GYN surgery requires mastery of 50+ CPT modifier combinations. Infertility billing requires fluency in HCPCS J-codes and plan-specific fertility riders. No generalist can maintain that depth across 30+ specialties simultaneously.
So we made a decision: we only bill for OB/GYN. That singular focus means our coders, our AI systems, and our denial protocols are tuned to one specialty — and optimized daily as that specialty's payer rules evolve.
The OB/GYN Billing Challenge
What Sets Us Apart
Three Pillars of OB/GYN Billing Excellence
Clinical Precision
Every claim is coded by CPC-OB certified specialists who understand global maternity packages, GYN surgery modifier combinations, and OB/GYN-specific payer policies — not generalist billers cross-trained from another specialty.
Regulatory Foresight
We track every CPT, ICD-10, and CMS update that affects OB/GYN before it impacts your revenue — including the 2027 maternity code transition that will eliminate global packages entirely.
Agentic Automation
Our AI denial engine reads CARC/RARC codes, identifies root causes in real time, and drafts appeal letters autonomously — turning denied claims into recovered revenue without manual rework.
Our Team
CPC-OB Certified OB/GYN Billing Specialists
Every team member is credentialed specifically in OB/GYN coding — not cross-trained from another specialty.
Sarah Reynolds, CPC-OB
Director of OB/GYN Coding
15+ years coding exclusively for OB/GYN practices. Specializes in global maternity billing, GYN surgery CPT coding, and complex modifier usage for robotic and laparoscopic procedures.
Marcus Davis, RHIA
Revenue Cycle Manager
Expert in OB/GYN revenue cycle optimization. Has helped 80+ practices reduce AR days from 45+ to under 25 through systematic denial management and clean claim protocols.
Patricia Liu, CPC
Denial Management Specialist
Specializes in Cigna, UnitedHealthcare, and Aetna OB/GYN denial patterns. Maintains a 94% appeal success rate on first submission for denial codes CO-97, CO-4, and CO-22.
James Walker, MBA
Practice Success Manager
Onboards new OB/GYN practices and manages ongoing client relationships. Ensures every practice hits benchmarks for net collection rate, clean claim rate, and denial rate.
Certifications & Compliance
Industry Credentials You Can Trust
American Academy of Professional Coders
CPC-OB Certified CodersAmerican Health Information Management Assoc.
Coding Excellence CredentialedMedical Group Management Association
Practice Management CertifiedHealthcare Information & Management Systems Soc.
Health IT ComplianceHIPAA Compliant
2026 Security Rule
BAA Available
All ePHI Vendors
SOC 2 Type II
Phase 3 Initiation
AES-256 Encrypted
At Rest + In Transit