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.
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 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 audit your current billing, coding, global period tracking, and A/R at no cost so you can see exactly where revenue is leaking.
Onboarding and EHR Integration
We integrate with your existing EHR and practice management system. No platform changes required.
Coding and Claim Submission
Claims go out within 24 hours of completed documentation with coding, POS verification, prior auth checks, and submission handled.
Denial Management and A/R Follow-Up
We act on every denial within 72 hours and keep A/R below industry average with clear monthly reporting.
Quarterly Revenue Optimization
Every quarter, we review payer mix, fee schedules, and coding patterns to find missed revenue 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 less time your staff spends managing billing problems.
30% Average Revenue Increase
Our clients collect 30% more within six months. For an OB/GYN practice collecting $900,000 per year, that's $270,000 in additional revenue.
OB/GYN Coding Specialists
Our AAPC-certified coders specialise in obstetrics and gynecology. Global period rules, surgical bundling, split care modifiers. They know the coding that general billers miss.
Austin, Texas Based
We're a US-based boutique firm, not an offshore billing operation. Your account manager answers the phone during business hours. You talk to a person who knows your practice.
Performance-Based Pricing
We charge a percentage of collections. Our fee is tied directly to what we actually collect for you. No flat fees on uncollected claims. Pricing scales for solo physicians and small group practices as well as larger multi-provider groups.
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. Review our privacy policy for full details.
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 global maternity billing in OB/GYN?
Global maternity billing bundles antepartum, delivery, and postpartum care into a single claim using CPT codes 59400, 59510, 59610, or 59618 depending on delivery type. Payers pay one global fee rather than billing each visit separately. Docscare manages global period tracking and all unbundling exceptions when care is split between providers.
What CPT codes are used in OB/GYN billing?
Common OB/GYN CPT codes include 59400 for vaginal delivery with antepartum and postpartum care, 59510 for cesarean delivery with full care, 76801 for first trimester ultrasound, 58558 for hysteroscopy with leiomyomata removal, 57454 for colposcopy with biopsy, and 58150 for total abdominal hysterectomy. The correct code depends on the procedure, delivery type, and which provider performs each component of care.
Why do OB/GYN claims get denied so often?
The most common OB/GYN denial reasons are incorrect global period billing, unbundling errors on maternity care, missing place of service codes for hospital versus office procedures, prior authorization failures on gynecologic surgeries, and coverage gaps for services like IVF or elective procedures. Docscare tracks payer-specific denial patterns and fixes the root cause upstream.
Does Docscare handle billing for both obstetrics and gynecology?
Yes. Docscare handles the full scope of OB/GYN billing including global maternity care, prenatal visits, all delivery types, postpartum care, routine gynecology, gynecologic surgery, colposcopy, hysteroscopy, and well-woman exams. We also bill for subspecialties including maternal-fetal medicine and reproductive endocrinology.
How does Docscare handle split global maternity care billing?
When two or more providers share antepartum, delivery, or postpartum care, the global package must be split using modifier 54 for surgical care and modifier 55 for postoperative care. Docscare tracks which provider performed which component and bills each portion correctly to prevent underpayment or denials.
Can Docscare integrate with my OB/GYN EHR system?
Yes. Docscare integrates with all major EHR and practice management platforms used by OB/GYN practices including Epic, Athenahealth, eClinicalWorks, Kareo, and DrChrono. You do not need to change platforms to work with us.
What is Docscare's clean claim rate for OB/GYN billing?
Docscare’s overall clean claim rate is 99%. OB/GYN accounts stay at or above that rate because our AAPC-certified coders specialise in obstetrics and gynecology coding and understand the global period rules, bundling requirements, and place of service requirements that cause most OB/GYN denials.
Is outsourced OB/GYN billing HIPAA compliant?
Yes. Docscare signs a Business Associate Agreement with every client and maintains full HIPAA compliance across all systems, staff, and processes. Patient health information is handled with strict data security protocols on every account.
Ready to Collect Every Dollar Your OB/GYN Practice Earns?
Global maternity billing, surgical procedure codes, prior authorisations, and denial management.
All handled by specialists who know OB/GYN billing inside out.
Start with a free revenue cycle audit.
Or call us at (214) 646-1606 to speak with our Credentialing specialist today.
