Launch Your OB/GYN Practice With the Right Billing Foundation
Billing errors made at launch follow a practice for years — wrong fee schedules, incomplete payer enrollment, missed codes. We build your billing infrastructure correctly from the start so you collect every dollar from the very first claim.
Every OB/GYN Launch Scenario Covered
Whether you're opening a solo practice or spinning off from a hospital system, we've built the billing infrastructure for every scenario.
Solo Launch
A single OB/GYN physician opening a new independent practice.
- ✓Individual NPI registration
- ✓Solo CAQH profile
- ✓Direct payer enrollment
- ✓Lean EHR/PM setup
- ✓Solo practitioner superbill
- ✓Personal fee schedule
New Group Practice
2–5 OB/GYN physicians forming a new group practice entity.
- ✓Group NPI (Type II) setup
- ✓Individual + group CAQH
- ✓Multi-provider payer enrollment
- ✓Group billing module configuration
- ✓Shared charge master
- ✓Provider-level fee schedule
Practice Acquisition
Buying an existing OB/GYN practice and transitioning billing.
- ✓Billing system audit & migration
- ✓Payer ID reassignment
- ✓Open AR transition management
- ✓Contract renegotiation support
- ✓Staff retraining
- ✓Historical data reconciliation
Hospital Spin-Off
OB/GYN group leaving a hospital system to form an independent practice.
- ✓Entity separation billing setup
- ✓New payer contracting from scratch
- ✓Patient notification billing transition
- ✓Hospital vs. office CPT code alignment
- ✓Facility vs. non-facility fee schedules
- ✓Provider credentialing for new entity
Your OB/GYN Practice Launch Checklist
Every task, in order, with nothing missed. We execute this entire checklist for your practice.
Complete Practice Billing Setup Services
Everything you need to start billing from day one — not just the paperwork, but the infrastructure, workflows, and training.
NPI Registration
Individual (Type I) and Group (Type II) NPI registration through NPPES. Correct taxonomy code selection (207V00000X) and provider data verification.
CAQH ProView Setup
Complete CAQH profile build with all required credentialing documents. Ongoing attestation management (every 120 days) to keep your profile active.
Payer Enrollment
Applications submitted to Medicare (PECOS), Medicaid, and all commercial payers. ERA/EFT enrollment for electronic remittance and direct deposit.
EHR/PM Configuration
Billing module setup in your chosen EHR: Athenahealth, eCW, NextGen, Kareo, DrChrono. OB/GYN-specific code lists, global period tracking, and claims integration.
Fee Schedule Build
Comprehensive OB/GYN fee schedule loaded at 200–250% of Medicare rates. Global maternity packages, in-office procedures, preventive care, and telehealth codes.
Charge Master & Superbill
Custom OB/GYN superbill design with all CPT, ICD-10, and modifier fields. Charge master aligned to fee schedule for accurate charge capture from day one.
Billing Policy Manual
Written billing policies covering: claim submission timelines, denial protocols, patient balance billing, refund procedures, and payer-specific rules.
Staff Training
Front-desk and billing staff training covering insurance verification, prior auth workflows, charge capture, and common OB/GYN billing pitfalls.
OB/GYN EHR Comparison Guide
The right EHR determines how smoothly your billing runs. We configure and integrate with all major platforms.
OB/GYN Codes Most Often Missed at Launch
New practices lose thousands monthly on these codes. We configure your charge capture to catch all of them.
59430Postpartum care onlyOften missed when delivery done by different provider
57170Diaphragm/cervical cap fittingUnderreported contraceptive visit service
J7296–J7302IUD device supply codesSupply code frequently dropped from IUD insertion claims
99401–99404Preventive counselingBilled separately from E/M but often overlooked
58300IUD insertionGlobal period confusion with same-day E/M
96372Therapeutic injectionMissed when Depo-Provera or Rho(D) administered in office
We Enroll You With Every Payer You Need
Payer credentialing is the critical path for new OB/GYN practices. We initiate applications with all payers simultaneously, track every application, and manage follow-up — so credentialing doesn't delay your first paycheck.
Taxonomy code 207V00000X is the correct OB/GYN specialty designation for all payer enrollment applications. Using the wrong taxonomy code during CAQH setup causes enrollment rejections that can add 30+ days to your launch timeline.
We manage enrollment for: Medicare (PECOS), Medicaid, BCBS, Aetna, UnitedHealthcare, Cigna, Humana, Tricare, and all major regional commercial payers in your area.
Enrollment Timelines by Payer
Practice Setup Questions
“We tried to set up our billing in-house and lost almost three months of revenue waiting on payer credentialing we'd done incorrectly. OBGYNBillingPro took over, fixed every application, set up provisional billing through my supervising physician, and we were collecting within the first week. I wish we'd started with them.”
Build Your Billing Foundation Right the First Time
Get a free practice setup consultation. We'll review your launch timeline, identify your payer enrollment priorities, and map out the exact steps to get your OB/GYN practice billing-operational in 30 days.