OB/GYN medical billing services

Full-service RCM or individual services — your choice

Every OB/GYN practice has different needs. Some want a complete outsourced billing department. Others have a capable in-house team and need specialist help with one piece — a denial backlog, a coding audit, credentialing for a new physician, or preparation for the 2027 maternity code changes. Our services are designed to work either way.

Full-service revenue cycle management covers everything from eligibility verification to patient statements. It includes global maternity billing, surgical coding, denial management, A/R follow-up and monthly reporting, all handled by one team.

Individual services can be added on their own or combined: coding audits, denial management, credentialing and enrollment, eligibility verification and prior authorization, fee schedule optimization and new practice setup.

Services by type of care

Obstetrics

Obstetric billing is built around the pregnancy, not the visit. Through December 31, 2026, that means global packages and component codes; from January 1, 2027, it means phase-based reporting with E/M visits and new labor management and delivery codes. Our global maternity billing service tracks every pregnancy from the first visit, handles split care and insurance changes, and is preparing practices for the 2027 transition.

Gynecologic surgery

Hysterectomy, myomectomy, laparoscopy, hysteroscopy, LEEP and pelvic floor surgery — coded from the operative note and pathology report, with NCCI edits and modifiers handled before submission. See GYN surgery coding and urogynecology billing.

Office gynecology and preventive care

Well-woman visits, problem-oriented visits with modifier 25, the 99459 pelvic exam add-on, Medicare G0101 and Q0091, colposcopy, endometrial biopsy, LARC insertions with their device codes, and in-office ultrasound. These are included in our full-service RCM and reviewed in every coding audit.

Reproductive endocrinology and infertility

Benefit verification before each cycle, component or case-rate billing, fertility preservation, and clean separation of insurance and self-pay balances. See infertility & REI billing.

Telehealth

Virtual prenatal check-ins, postpartum follow-ups and gynecology visits billed with the right POS code, modifier and visit code for each payer. See telehealth billing.

How to choose the right service

Not sure? That's what the free audit is for. We'll look at your data and recommend what would help most — even if that's something small.

What's included with every service

• A signed Business Associate Agreement before any access to patient data
• Work inside your existing systems, with individual user accounts
• A dedicated point of contact who knows your practice
• Plain-English reporting on the work we do and the results we see
• No setup fees and no long-term lock-in

Beyond OB/GYN

OB/GYN is our focus, but we also provide billing for cardiology, internal medicine, family practice and other specialties — particularly multi-specialty groups that include women's health providers.

Free resources

Before you talk to anyone, you can learn a lot from our free guides: the OB/GYN CPT code library, the ICD-10 O codes and sequencing guide, OB/GYN taxonomy codes, and the 2027 maternity transition guide. Our blog publishes a new OB/GYN billing article every week.

How engagements usually start

Most practices begin with the free audit. It answers three questions: where is revenue leaking today, which service would fix the biggest problem, and what would it cost? From there, practices typically choose one of three paths:

1. Full-service RCM — we take over billing end to end, inside your existing systems, with a planned cutover so claims keep flowing and old A/R keeps getting worked.
2. Targeted project — a defined piece of work such as a denial backlog cleanup, a coding audit, credentialing a new provider or 2027 maternity readiness.
3. Ongoing specialist support — your team keeps daily billing, and we handle a recurring function like denials, A/R follow-up or monthly coding review.

Whichever path you choose, you'll have a dedicated point of contact, a clear scope in writing, and monthly reporting on the results.

Our approach in every service

• Specialty knowledge first. We apply OB/GYN-specific rules — global maternity, surgical weight tiers, Chapter 15 coding, payer obstetric policies — to every claim.
• Documentation-based coding. Codes and modifiers come from the record, never from habit.
• Root-cause denial work. Every denial is categorized so the upstream process gets fixed.
• Plain-English reporting. You'll always know what we did and what changed.

Specialty depth where it matters

Women's health billing rewards specialists. Global maternity packages, split care, Chapter 15 diagnosis rules, hysterectomy weight tiers, LARC device codes and payer obstetric policies are daily work for our team — and the 2027 maternity transition is already part of how we plan every client's billing.

Questions to ask before choosing any billing service

• Does the team have OB/GYN-specific experience with global maternity, GYN surgery and Chapter 15 coding?
• Will they work inside your current EHR and practice management system?
• What exactly will you see in monthly reports?
• How are denials handled — is every denial worked and categorized?
• What's included in the price, and what costs extra?
• What happens to your data and open A/R if you part ways?

We're happy to answer all of these on a quick call or by WhatsApp.