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OB/GYN Billing Services

CodeCure delivers comprehensive OB/GYN billing solutions designed to reduce claim errors, speed up reimbursements, and ensure a healthy cash flow. Our services also remove the administrative workload from your team, giving you more time to focus on delivering exceptional obstetric and gynecological care to your patients.

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OB/GYN Billing:

Why Expertise Matters?

OB/GYN practices cover a wide range of services from prenatal visits and labor & delivery to surgical procedures and preventive screenings. Billing for these services requires precision in handling global maternity packages, surgical coding, and evolving payer guidelines for women’s health. For many providers, it’s a complex and detail-oriented task.

By outsourcing to a specialized RCM partner like CodeCure, you ensure proper documentation, accurate coding, and prompt submissions allowing you to focus on patient care while we optimize your revenue cycle.

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< 30

Days in AR

20–30%

Revenue Increase

97%

First Pass Ratio

96%

Collection Ratios

98%

Clean Claims Rate

We provide customized billing solutions for every OB/GYN setting, including:

Private OB/GYN practices
Hospital-based OB/GYN departments
Women’s health clinics
High-risk pregnancy programs
Fertility and reproductive health centers
Gynecologic oncology practices
Urogynecology services
Minimally invasive gynecologic surgery centers
Preventive and wellness programs for women
Menopause and hormonal health services
Other related women’s healthcare specialties

We Understand OB/GYN Billing Codes Best

OB/GYN billing requires mastery of CPT, ICD-10, and HCPCS codes for a variety of services, including bundled maternity care and surgical procedures. Our certified coders ensure accurate, compliant claims every time.

Global Maternity Care Codes

Accurate coding for prenatal visits, delivery, and postpartum care to avoid underbilling.

Gynecological Surgery Codes

Correct billing for hysterectomies, laparoscopies, and other procedures.

Preventive Screening Codes

Proper coding for Pap smears, HPV tests, and annual exams to meet payer requirements.

Obstetric Complication Codes

Expertise in coding high-risk pregnancies and complex deliveries.

Family Planning & Fertility Codes

Accurate billing for contraceptive services, infertility evaluations, and treatments.

OB/GYN Billing Challenges

Global Package Complexity

Maternity billing involves bundled codes covering months of care, which can be tricky to manage.

Frequent Code Changes

CPT and ICD-10 updates regularly affect OB/GYN procedures and preventive care billing.

Medical Necessity Requirements

Payers demand thorough documentation for advanced imaging, surgeries, and fertility treatments.

Prior Authorization Delays

Surgeries, certain imaging, and specialty treatments often require pre-approvals that can stall payments.

Value-Based Reimbursement

Insurers increasingly link payments to quality metrics like prenatal care compliance and postpartum follow-up.

We Follow the Best OB/GYN Billing Practices

Training & Education

We manage your billing while keeping your team informed about OB/GYN coding changes and compliance requirements.

Proactive Payer Communication

We work directly with insurers to clarify coverage and reduce denials.

24/7 Support

Our billing team is available any time to address your practice’s needs.

Technology Integration

We use claim scrubbers to catch errors before submission and ensure secure handling of patient data.

Real-Time Reporting

Our dashboards give you complete visibility into claims, collections, and revenue performance.

Complete Billing, Coding & Practice Support

CODING

OB/GYN coding covers a wide spectrum from global maternity packages to gynecological surgeries and preventive screenings. Our certified coders are proficient in OB-GYN medical billing, ensuring compliance with CPT, ICD-10, and HCPCS standards for women’s health services.

RCM

We Strengthen OB/GYN Revenue Cycles and Reduce Denials with Precision Our OB/GYN revenue cycle management services are tailored to the unique challenges of women’s healthcare, from bundled maternity billing to fertility and reproductive health services.

  • We confirm maternity, fertility, and surgical benefits upfront to prevent denials.
  • Every prenatal visit, delivery, and gynecological procedure is accurately documented and billed.
  • Our experts handle payer rejections, resubmit corrected claims, and win appeals for higher reimbursement.
  • We track payer performance, denial trends, and key OB/GYN metrics to strengthen your practice’s cash flow.

CREDENTIALING

We Simplify OB/GYN Credentialing for Seamless Payer Enrollment Credentialing for OB/GYN providers requires compliance with both general payer requirements and women’s health-specific networks. Our team manages the process end-to-end, ensuring your providers are properly enrolled and stay compliant. We handle:

  • Payer enrollment applications and renewals
  • CAQH, PECOS, and NPI management
  • Hospital and birthing center privileging
  • Ongoing credentialing updates and re-credentialing

EHR

Our OB/GYN EHR billing services are built for women’s health practices, supporting everything from prenatal care to minimally invasive gynecologic surgery. Key features include:

  • Document prenatal visits, ultrasounds, labor, and delivery seamlessly.
  • Tailored templates for hysteroscopy, colposcopy, IUD insertion, and menopause care.
  • Evidence-based prompts for high-risk pregnancies and preventive screenings.
  • Automated ob gyn procedure codes with modifier suggestions to minimize denials.
  • Secure communication, digital consents, and remote consultations.

PRACTICE MANAGEMENT

Managing an OB/GYN practice requires balancing clinical excellence with financial efficiency. Our practice management tools integrate all aspects of your operations. With our solutions, you can:

  • Manage prenatal visits, deliveries, fertility treatments, and follow-ups with automated scheduling.
  • Access updated CPT/ICD-10 libraries, payer rules, and an ob-gyn coding newsletter for compliance updates.
  • Empower women with secure portals for accessing records, paying bills, and scheduling care.
  • For hospital-based OB/GYNs or women’s health networks, we centralize credentialing, compliance, and billing obgyn workflows.
  • Advanced analytics track procedure volumes, patient outcomes, and reimbursement trends.

CodeCure is Your OB/GYN Billing Partner!

Let us handle your revenue cycle while you focus on women’s health care.

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Frequently Asked Questions (FAQs)

What makes CodeCure the best choice for OB/GYN billing services?

We specialize in maternity care, gynecological surgery billing, and preventive women’s health coding—ensuring compliance and faster payments.

How much does outsourcing OB/GYN billing to CodeCure cost?

Our fees typically range from 2% to 5% of monthly collections. As an introductory offer, we provide the first month at a flat 1% of collections.

What is the biggest challenge in OB/GYN billing?

Managing global maternity packages while handling separate claims for complications or additional services.

Do you handle high-risk pregnancy and fertility billing?

Yes. We ensure accurate coding for high-risk obstetrics, fertility evaluations, and treatments.

Can CodeCure help with surgical authorization and documentation?

Absolutely. We assist in obtaining prior authorizations and ensure all required documentation is complete before claim submission.

Let’s Elevate Your Billing Process Together

You take care of patients. We’ll take care of your revenue.

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