Our story
OBGYNBillingPro grew out of more than eight years of hands-on medical billing work — much of it for women's health practices. Over that time we kept seeing the same thing: independent OB/GYN practices delivering excellent care while quietly losing revenue to billing problems that were entirely fixable.
Antepartum visits went unbilled when a patient transferred out. Global maternity claims sat unsubmitted for months after delivery. Hysterectomies were billed before the pathology report confirmed the uterine weight. Denials were resubmitted unchanged, again and again. And general-purpose billing companies, handling dozens of specialties at once, often didn't recognize any of these as problems at all.
So we focused. OB/GYN billing is complicated enough to deserve a team that does it every day — one that understands global maternity packages, gynecologic surgery coding, Chapter 15 diagnosis rules, and the payer policies that govern women's health. That's what we built.
What we believe
Accuracy over aggression
We code what the documentation supports — no more, no less. Undercoding costs you revenue; overcoding creates compliance risk. Neither is acceptable. When documentation doesn't support the code a provider expects, we explain why and how to document it next time.
Honesty over hype
You won't find inflated statistics, invented testimonials or certifications we don't hold on our website. We tell prospective clients plainly what we can do, what we can't, and what we don't yet know until we've seen their data. That's also why we start with a free audit: you should see real findings from your own claims before deciding anything.
People, not shortcuts
Every claim is coded, every denial is worked and every appeal is written by experienced billing professionals who read the documentation and the payer's policy. Technology helps us work efficiently — claim scrubbers, clearinghouse tools, payer portals — but judgment stays with people.
Your practice, your data
You keep ownership of your systems, your data and your payer contracts. We work inside your practice management system with individual user accounts, and if you ever decide to move on, the transition is clean.
What makes OB/GYN billing different
Most medical specialties bill visit by visit. An OB/GYN practice runs three very different billing models at once:
- Obstetric care, billed through 2026 as global packages that span a whole pregnancy, and — starting January 1, 2027 — by phase of care under the new CPT maternity codes.
- Gynecologic surgery, with high-value claims, prior authorizations, NCCI edits and 90-day global periods.
- Office gynecology and preventive care, including well-woman visits, problem visits, ultrasounds, contraception and in-office procedures.
Each model has its own rules and its own ways to lose money. Our team is organized around all three, and around the specialties within women's health: maternal-fetal and global maternity billing, gynecologic surgery, reproductive endocrinology and infertility, and urogynecology.
How we work with practices
- One dedicated point of contact who knows your practice, your providers and your payers.
- Work inside your systems — athenahealth, eClinicalWorks, NextGen, AdvancedMD, Tebra, DrChrono, ModMed and others.
- Daily claim submission, prompt payment posting and every denial worked.
- Monthly reporting with collections, A/R aging, denial reasons and open pregnancies — plus a call to walk through it.
- Provider feedback on documentation, delivered respectfully and with specific examples.
- Fast answers through WhatsApp during business hours.
HIPAA and data protection
We sign a Business Associate Agreement with every client before accessing protected health information. We use individual, role-appropriate user accounts, follow the minimum-necessary standard, and never send patient information through WhatsApp or unencrypted email — WhatsApp is for scheduling and general questions only. Read our HIPAA notice and privacy policy for details.
Beyond OB/GYN
Women's health is our focus and the majority of our work. We also provide billing for cardiology, internal medicine, family practice and other specialties, especially for multi-specialty groups that include OB/GYN providers. The same principles apply: accurate coding, persistent follow-up and honest reporting.
Where we work
We serve independent practices in all 50 states, working remotely inside your systems. We research each state's Medicaid program and major commercial payers before onboarding a practice there.
What a typical month looks like with us
- Every business day: charges reviewed and coded, clean claims submitted, rejections fixed, payments posted.
- Within two business days of a denial: the denial is categorized and corrected, reconsidered or appealed.
- Every week: unpaid claims followed up by age and value; surgical claims waiting on pathology reviewed; eligibility checked for upcoming visits.
- Every month: a written report covering collections, net collection rate, A/R aging, denial reasons, charge lag and open pregnancies — and a call to walk through it, including what we changed and why.
- Whenever rules change: payer policy updates, annual CPT and ICD-10-CM updates and the 2027 maternity transition are built into your billing before they cause denials.
Our commitment to you
We'll tell you what we see, even when it isn't what you hoped to hear. We'll explain our recommendations in plain English. We'll never ask you to sign up before you've seen what we can find in your own claims. And if billing outsourcing isn't the right fit for your practice, we'll say so.
Who we work best with
We're a good fit for independent OB/GYN practices that want a billing partner who understands women's health, communicates clearly and reports honestly — whether that's a solo physician, a growing group with midwives and nurse practitioners, or a practice opening its doors. We're also a good fit for practices that want specialist help with one part of the revenue cycle while keeping the rest in-house.
Start a conversation
The easiest way to get to know us is the free audit. Send us a WhatsApp message — no form to fill out — and we'll review a sample of your claims, denials and A/R. You'll receive a written summary of what we found, and you're free to use it however you like. You can also read our case studies, browse our services, or estimate your revenue leakage with the calculator.
