Global OB Billing Packages
We accurately manage:
- Complete bundled maternity packages
- Global OB package eligibility
- Bundled versus separately billable services
- Delivery charge reconciliation
- Unbundling compliance reviews
- Global care period tracking
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Working hours
- Monday 08:00 – 15:00
- Tuesday 08:00 – 15:00
- Wednesday 08:00 – 15:00
- Thursday 08:00 – 15:00
- Friday 09:00 – 15:00
- Saturday 09:00 – 15:00
- Sunday Closed
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OB/GYN Medical Billing Services: Global OB, Prenatal & Gynecology RCM
OB/GYN billing requires careful handling of prenatal care, global obstetric billing, gynecology procedures, diagnostics, postpartum services, and payer-specific requirements. RCMEasy provides OB/GYN medical billing and women’s health revenue cycle support across coding, claims, denials, payment posting, and A/R.
Why OB/GYN Billing Requires Specialty Workflows
OB/GYN practices may manage global maternity packages, separately billable services, high-risk pregnancy care, surgical procedures, diagnostic testing, and postpartum follow-up. Changes in coverage, documentation gaps, modifier requirements, and incorrect diagnosis or procedure coding can create billing delays or denials.
OB/GYN RCM Services
Global OB billing: Support for bundled maternity packages, global eligibility, delivery charge reconciliation, separately billable services, and care-period tracking.
Prenatal and high-risk care: Billing support for maternal-fetal medicine, high-risk pregnancy care, multiple gestation documentation, prenatal monitoring, and medical-necessity review.
Gynecology and surgical coding: Support for office procedures, laparoscopic surgery, hysteroscopy, colposcopy, endometrial biopsy, and other applicable gynecologic procedures.
Claims and denial management: Submit and track claims, investigate denials, correct billing issues, and coordinate appropriate appeals.
A/R and payment management: Follow up on unpaid claims, reconcile payments, review aging balances, and support reporting.
How OB/GYN Medical Billing Works
- Capture patient and insurance information.
- Verify eligibility, benefits, and relevant authorization requirements.
- Review documentation and specialty coding requirements.
- Prepare and submit claims.
- Track payer responses and resolve rejections.
- Investigate denials and coordinate corrections or appeals.
- Post payments and reconcile outstanding balances.
- Review A/R and recurring billing issues.
Common OB/GYN Billing Questions
What is OB/GYN RCM?
OB/GYN RCM is the management of revenue from registration and eligibility through coding, claims, denials, payment posting, and A/R follow-up for obstetric and gynecologic services.
What makes global OB billing different?
Global OB billing involves bundled maternity services and requires the practice to distinguish included care from separately billable services according to applicable payer and coding rules.
What can cause OB/GYN claim denials?
Denials may result from eligibility changes, documentation gaps, coding or modifier errors, global-package billing issues, or payer-specific requirements. The payer response should guide the correction or appeal.
Related RCMEasy Resources
Explore our medical billing services, revenue cycle management services, denial management services, accounts receivable management, and medical billing process guide.
High-Risk Prenatal Care Billing
Our specialists support:
- Maternal-Fetal Medicine billing
- High-risk pregnancy coding
- Multiple gestation documentation
- Additional prenatal monitoring
- Chronic condition management
- Medical necessity validation
Gynecology & Minimally Invasive Surgical Coding
We provide accurate coding for:
- Office gynecology procedures
- Laparoscopic surgeries
- Hysteroscopy
- Colposcopy
- Endometrial biopsy
- Robotic-assisted procedures
- Modifier assignment and surgical audits
Midwifery, Doula, and Community-Based Prenatal Care Services
Our team manages billing for:
- Certified Nurse Midwife services
- Collaborative physician care
- Community prenatal programs
- Shared maternity care models
- Care coordination documentation
Ultrasounds, Fetal Non-Stress Tests, and Laboratory Billing
We accurately bill:
- Obstetric ultrasounds
- Fetal Non-Stress Tests (NST)
- Biophysical profiles
- Prenatal laboratory testing
- Genetic screening services
- Diagnostic imaging interpretation
Postpartum Care & Neonatal Transitional Care Revenue Cycle Management
Our services include:
- Postpartum visit billing
- Transitional care documentation
- Follow-up encounter coding
- Care coordination reimbursement
- Claims reconciliation
- Payment posting and reporting
How RCMEasy Simplifies OB/GYN Medical Billing
How RCMEasy Supports the OB/GYN Revenue Cycle
Workflow and EHR coordination: Billing workflows can be coordinated with the practice’s existing EHR and practice-management processes.
Coding and documentation review: Review encounter documentation, ICD-10-CM, CPT, HCPCS, and applicable modifiers before claims are submitted.
Electronic claim submission: Submit claims, monitor payer acknowledgments, and address rejections and outstanding responses.
Denial and A/R follow-up: Investigate denied or underpaid claims, coordinate corrections or appeals, and review aging accounts and payment activity.
Reporting: Use revenue-cycle reporting to identify outstanding claims, aging balances, payer trends, and recurring billing issues.
Service scope and billing requirements vary by payer, procedure, documentation, and practice workflow. RCMEasy’s role is to support the practice’s billing and revenue-cycle process with specialty-focused workflows.
Frequently Asked Questions About Prenatal Care & OB/GYN Billing
Ans: The global OB billing package combines routine prenatal visits, labor and delivery, and postpartum care into a single reimbursement when payer guidelines are met. RCMEasy tracks every encounter, identifies services inside and outside the global package, monitors global care periods, and bills separately reimbursable services appropriately.
Ans: When insurance changes during pregnancy, we review payer responsibility for each date of service, determine whether split billing is required, verify coverage, update eligibility, and submit claims according to each payer's maternity billing guidelines. This minimizes reimbursement delays and prevents duplicate or denied claims.
Ans: The most common causes include incorrect ICD-10-CM diagnosis codes, inaccurate CPT codes for prenatal care, missing documentation, modifier errors, eligibility issues, duplicate claims, authorization problems, incorrect global package billing, and failure to follow payer-specific maternity billing policies. RCMEasy performs multiple quality checks before submission to reduce these risks.
Ans: Yes. RCMEasy supports solo OB/GYN physicians, group practices, women's health centers, maternal-fetal medicine specialists, hospital-affiliated clinics, and multi-provider healthcare organizations. Our billing workflows scale to match your practice size while maintaining consistent coding accuracy, compliance, and reporting.
Get an OB/GYN Billing Review
Review your OB/GYN billing workflow, global OB billing, denials, claims, and A/R process with the RCMEasy team.