OB/GYN Medical Billing Services Built for the Way You Practice
From your first prenatal visit to the delivery room and beyond, we manage every billing touchpoint in the OB/GYN revenue cycle. Global maternity packages, gynecologic surgery codes, prior authorizations. All handled.
Clean Claim Rate
Average Revenue Increase
First-Pass Acceptance
Denial Turnaround
Why OB/GYN Practices Lose More Revenue
Than Any Other Specialty
OB/GYN is one of the most billing-intensive specialties in medicine. You’re managing two distinct code sets under one roof: obstetrics and gynecology. Each carries its own rules, payer policies, and documentation requirements. A single global maternity package involves dozens of prenatal visits, a delivery, and postpartum care. Bill any component incorrectly and the entire package unravels.
The numbers reflect that complexity. OB/GYN practices see denial rates 15 to 20% higher than the primary care average. Global period miscoding, incorrect place of service codes, bundling errors on surgical procedures, and prior authorization gaps on gynecologic surgeries are the four biggest culprits. Each one is preventable with the right coding team. Most in-house billers don’t specialize deeply enough in OB/GYN to catch them consistently.
Docscare’s coders work exclusively in OB/GYN and women’s health billing. In our work with obstetrics and gynecology practices, the issue we encounter most consistently is global period miscoding. Practices bill prenatal visits individually when the patient is already inside the global package, or miss the package entirely and leave thousands of dollars uncollected per delivery. Our clients collect 30% more revenue within six months of switching to us. That’s what happens when every claim goes out correctly the first time.
| Factor | Outsourced Billing (Docscare) | In-House Billing |
|---|---|---|
| Clean claim rate | 99% — industry leading | 84 to 92% — varies by staff experience |
| Global period tracking | Per-patient tracking managed by specialist coders | Often missed when staff changes or volumes spike |
| Denial management | Every denial actioned within 72 hours | Depends on workload — denials often sit 2 to 4 weeks |
| OB/GYN coding expertise | AAPC-certified coders who specialise in OB/GYN CPT codes | General billers — global period rules and surgical bundling often missed |
| Prior authorisation | We obtain pre-authorisations before procedures are scheduled | Frequently missed or delayed, causing post-service denials |
| Monthly cost | Percentage of collections only — no fixed overhead | $45,000 to $75,000 per year in salary, benefits, and software |
| Staff turnover risk | Zero — continuity guaranteed by contract | High — billing staff turnover disrupts global period tracking |
| HIPAA compliance | BAA signed with every client — full compliance standard | Depends on internal training and processes |
Why Is OB/GYN Billing More Complex Than
Other Specialties?
Global Maternity Care Billing
We manage bundled antepartum care, delivery, and postpartum care so global maternity claims are billed correctly.
Our team tracks global periods, split-care cases, transfers, delivery CPT codes, and modifier requirements.
Split and Shared Global Care
We track which provider performed each part of care when patients transfer mid-pregnancy or delivery is shared between providers.
Gynecologic Surgery Coding
We manage CCI bundling edits for hysteroscopy, laparoscopy, colposcopy, endometrial ablation, and other OB/GYN procedures.
Place of Service Coding
We verify office, hospital, delivery room, outpatient surgery center, and NICU place of service codes before claims go out.
Prior Authorization on Gynecologic Procedures
We obtain authorizations before gynecologic procedures are scheduled to prevent avoidable denials and delayed reimbursement.
Varying Coverage for Gynecologic Services
We verify eligibility for preventive care, infertility treatment, IVF, elective procedures, and other gynecologic services.
Get a Free Mental Health Billing Audit
We review your current setup, identify where revenue is being
lost, and show you exactly what we’d
fix. No charge, no obligation.
Or call us at (214) 646-1606 to speak with our Credentialing specialist today.
Why Mental Health Billing Is Different From Every Other Specialty
Mental health billing does not follow the same rules as medical billing. Practices that use generalist billers for behavioral health run into the same preventable problems over and over. Here are the specific challenges that drive most of the revenue leakage.
Our AAPC-certified coders specialise in obstetrics and gynecology CPT and ICD-10 coding. We assign accurate diagnosis codes, apply correct global maternity and surgical codes, verify medical necessity documentation before submission, and track annual AMA CPT code updates that affect OB/GYN billing every January.
We code for:
- Global maternity care — vaginal delivery, cesarean, VBAC, and all antepartum and postpartum components.
- Split and shared global care with correct modifiers 54 and 55.
- Routine gynecology office visits and well-woman exams.
- Gynecologic surgical procedures including hysterectomy, laparoscopy, hysteroscopy, and colposcopy.
- Obstetric ultrasound codes 76801 through 76828.
- Fetal non-stress tests and biophysical profiles.
- Contraception counseling and IUD placement codes.
- Cervical cancer screenings and colposcopy with biopsy.
- Telehealth visits for prenatal and postpartum care under current CMS rules.
We submit clean claims within 24 hours of receiving complete documentation. Our 99% clean claim rate means the vast majority of your claims reach the payer without errors that cause automatic rejection. When a denial comes back, we act on it within 72 hours. We identify the reason, correct the issue, and resubmit with supporting documentation.
We also track your denial patterns by payer. If the same payer consistently denies a specific global maternity code or surgical procedure, we fix the upstream billing rule so the same denial stops repeating across your entire patient panel. Learn more about how our denial management process works.
We obtain prior authorisations for gynecologic surgeries and high-cost procedures before they are scheduled. Our team tracks payer-specific requirements, submits authorisation requests with supporting clinical documentation, and follows up to confirm approval before your patient arrives for surgery. No more post-service denials on authorised procedures.
We work your A/R on a structured schedule: 30-day follow-up on all outstanding claims, escalation at 45 days, and appeals preparation at 60 days for claims approaching the timely filing deadline. You get a monthly A/R report showing what’s outstanding by payer, by age, and by denial reason. See how our A/R recovery services reduce days in AR across all specialties.
We work your A/R on a structured schedule: 30-day follow-up on all outstanding claims, escalation at 45 days, and appeals preparation at 60 days for claims approaching the timely filing deadline. You get a monthly A/R report showing what’s outstanding by payer, by age, and by denial reason. See how our A/R recovery services reduce days in AR across all specialties.
We verify coverage for every patient before the appointment. For OB/GYN practices this is especially important given the wide variation in coverage for gynecologic procedures, infertility services, and elective care. Eligibility verification upfront eliminates the most common source of surprise write-offs in women’s health practices.
We manage the full credentialing process from CAQH profile setup through payer approval for new providers and re-credentialing for existing ones. OB/GYN practices that add a new physician or midwife can’t bill for their services until credentialing is complete. We track every application and follow up with payers to keep the timeline moving. See our full physician credentialing services for details.
How We Work With Your Practice
From your first call to your first clean claim, here’s exactly what working with Docscare looks like.
Free Revenue Cycle Audit
We start with a no-cost audit of your current billing, coding, and accounts receivable. You'll see exactly where revenue is leaking and what it's costing you annually. No commitment, no sales pressure.
Onboarding and EHR Integration
We integrate with your existing EHR and practice management system. We don't require you to change platforms. Onboarding takes 5 to 7 business days from signed agreement to first claim submission.
Coding and Claim Submission
From day one, your claims go out within 24 hours of completed documentation. We handle coding, submission, and payer follow-up. You handle patient care.
Denial Management and A/R Follow-Up
We work every denial within 72 hours and keep your A/R below industry average. You receive monthly performance reports with plain-language summaries of what's outstanding and why.
Quarterly Revenue Optimization
Every quarter we review your payer mix, fee schedules, and coding patterns. If there's revenue you're not collecting, we find it and fix it before the next quarter ends.
Why Small and Mid-Size Practices Choose Docscare
99% Clean Claim Rate
The industry average sits at 94 to 96%. Our 99% rate means fewer denials, faster payment, and far less time your staff spends chasing claims.
30% Average Revenue Increase
Across our client base, practices collect 30% more revenue within the first six months. For a pediatric practice collecting $700,000 per year, that's $210,000 in additional revenue.
AAPC-Certified Pediatric Coders
We don't rotate general billers through pediatric accounts. The coders on your account know pediatric CPT codes, Medicaid rules, and the specific denial patterns your payers use.
Texas Based
We're a US-based boutique firm, not an offshore billing factory. Your account manager answers the phone during business hours. You talk to a person, not a ticket queue.
Transparent, Performance-Based Pricing
We price on a percentage of collections. Our fee is tied directly to what we actually collect for you. No flat fees on unpaid claims.
Full HIPAA Compliance
We sign a Business Associate Agreement with every client and maintain strict HIPAA compliance across all systems and staff. Compliance is standard, not an add-on.
Other Specialties We Serve
Docscare provides medical billing services across a full range of specialties. If you run a multi-specialty practice or refer to specialists, we cover the billing on both sides.
Frequently Asked Questions About OB/GYN
Medical Billing
If your question is not answered here, contact our billing team directly. Most questions
get a same-day response.
What is the denial rate for mental health and psychiatry claims?
Outsourced medical billing typically costs 4 to 8% of net collections, with no setup fees and no monthly minimums. For a practice billing $50,000 per month, that runs $2,000 to $4,000. An in-house biller with software and benefits runs $5,500 to $8,100 for equivalent coverage. Our pricing scales with collected revenue, not claim volume, so our incentives stay aligned with yours.
What CPT codes do you use for individual therapy sessions?
Most practices are fully operational within 3 to 5 business days. We connect to your existing EHR and practice management system. No new software to install. No downtime. Your staff keeps working on the tools they already use. First measurable improvements in clean claim rate and denials usually show up within the first 30 to 60 days.
How do you handle prior authorization for mental health sessions?
Every denial gets investigated and resubmitted within 24 to 48 hours of receipt. Our team identifies root causes (coding, eligibility, documentation, authorization, edits specific to each payer) and fixes them rather than blindly resubmitting. Monthly trend reports show what is causing recurring denials so we can eliminate the pattern at the source.
Can LMFTs and LPCs now bill Medicare?
Yes. We operate under a fully executed Business Associate Agreement with every client, as HIPAA requires. We handle all PHI through encrypted systems audited for HIPAA compliance. Staff receive ongoing compliance training. Our processes meet HHS HIPAA requirements in full. You can review our compliance documentation during onboarding.
How do you bill telehealth mental health sessions in 2026?
All major systems including Epic, Athenahealth, eClinicalWorks, Kareo, DrChrono, AdvancedMD, Practice Fusion, and NextGen. We connect to your existing system at onboarding. You do not migrate data, retrain staff, or change software.
What is the 90785 interactive complexity add-on and when does it apply?
Medical billing is one component within the full revenue cycle. Billing specifically refers to creating and submitting claims based on coded patient encounters. Revenue cycle management covers the complete lifecycle: eligibility verification, prior authorization, coding, claim submission, denial management, payment posting, A/R follow-up, and financial reporting. Docscare provides both billing and full RCM depending on your needs.
How do you handle Collaborative Care Model billing in 2026?
Yes. We operate on 30 day notice, no long term contracts. We earn your business every month. Most RCM vendors lock clients into 2 to 3 year contracts because they cannot stand on monthly performance. We do not need to.
Do you handle billing for group practices with multiple clinicians?
You get weekly and monthly reports covering charges, collections, first-pass acceptance rate, denial rate, A/R aging, and net collection ratio. All metrics are transparent, nothing is hidden, and your account manager walks you through the numbers on a monthly call. Most practices see measurable improvement inside the first 60 days.
