Global OB Package Billing
The global OB package (59400, 59510, 59610) bundles 13+ antepartum visits, delivery, and postpartum care. Tracking which visits fall inside vs outside the package determines whether additional billing is appropriate.
OB/GYN Billing Experts
OB/GYN Medical Billing Services
Billing support for OB/GYN practices managing global obstetric packages, gynecological procedure coding, and split-care billing.
350+
OB/GYN Practices
97.6%
Clean Claim Rate
$3.8M
Revenue Recovered
24hr
Claim Turnaround
Overview
The Dual Complexity of OB/GYN Billing
OB/GYN billing combines two distinct coding worlds. Obstetric care uses global packages that bundle prenatal visits, delivery, and postpartum care into a single payment. Gynecological care involves procedure-heavy coding for surgeries, screenings, and office visits. Getting both right under one roof requires billing staff who understand each system thoroughly.
We manage OB/GYN billing with specialty-specific workflows for global OB packages, gynecological procedures, and the gray areas where both overlap. From antepartum visit tracking to hysterectomy coding, our team handles the full scope.
Challenges
Common Obstetrics and Gynecology billing Challenges We Solve
Every Obstetrics and Gynecology billing team deals with payer delays, coding nuance, and collection leakage. We tighten those weak points before they turn into write-offs.
Split-Care and Transfer Scenarios
When a patient transfers between OB providers mid-pregnancy, the global package must be split using antepartum-only (59425, 59426), delivery-only, and postpartum-only codes. Incorrect splitting causes denials or underpayment.
High-Risk Pregnancy Add-On Coding
High-risk OB patients generate additional billable services: non-stress tests (59025), ultrasounds, amniocentesis, and prolonged antepartum management. Capturing these charges outside the global package requires precise documentation.
Gynecological Procedure Bundling
Payers frequently bundle gynecological procedures that are performed together (colposcopy with biopsy, LEEP with ECC). Knowing which combinations require modifier 59 vs which are legitimately bundled prevents compliance issues.
Services
Complete Obstetrics and Gynecology billing Services
Support spans the full revenue cycle, from front-end verification to denial recovery and reporting.
Global OB package billing and antepartum visit tracking
Split-care and transfer-of-care coding
High-risk pregnancy charge capture (NST, ultrasound, amnio)
Gynecological surgical coding (laparoscopic, robotic, open)
Preventive care billing (well-woman exams, Pap, HPV)
Payer-specific modifier management for bundled procedures
Coverage
Serving Obstetrics and Gynecology billing Teams Nationwide
We support independent practices, multisite groups, and growing provider organizations with flexible workflows.
Independent physician groups
Multi-location practices
Private equity backed platforms
Hospital-owned outpatient groups
Guide
The Complete Guide to Obstetrics and Gynecology billing
OB/GYN billing combines two distinct coding worlds. Obstetric care uses global packages that bundle prenatal visits, delivery, and postpartum care into a single payment. Gynecological care involves procedure-heavy coding for surgeries, screenings, and office visits. Getting both right under one roof requires billing staff who understand each system thoroughly.
We manage OB/GYN billing with specialty-specific workflows for global OB packages, gynecological procedures, and the gray areas where both overlap. From antepartum visit tracking to hysterectomy coding, our team handles the full scope.
Common Questions
Frequently Asked Questions About Obstetrics and Gynecology billing
Answers to the questions practice owners and managers ask most often before switching billing partners.
How does global OB package billing work?
The global OB package covers routine antepartum care (typically 13 visits), delivery (vaginal or cesarean), and postpartum care. The full package fee is billed after delivery. Visits beyond routine care, such as high-risk monitoring, are billed separately with supporting documentation.
What happens if a patient changes OB providers during pregnancy?
We use antepartum-only codes (59425 for 4-6 visits, 59426 for 7+ visits) for the transferring provider and adjust the receiving provider's package accordingly. Accurate date tracking ensures both providers receive appropriate reimbursement.
Can you bill for both a well-woman exam and a problem visit on the same day?
Yes. When a preventive well-woman exam includes evaluation of a new medical problem, we bill both the preventive code (99395-99397) and the E/M code (99213-99215) with modifier 25. Documentation must clearly support both services.
How do you handle billing for OB ultrasounds?
OB ultrasounds are billed based on type: standard (76805), limited (76815), detailed anatomy (76811), and transvaginal (76817). We ensure the correct code is selected based on the clinical indication and gestational age, and we bill outside the global package when appropriate.
What is the most common denial in OB/GYN billing?
The most frequent denial is for services that payers consider included in the global OB package. We prevent this by maintaining clear documentation of which services are routine (included) vs which address separate clinical concerns (billable separately).
Do you handle billing for GYN surgeries performed in ASCs?
Yes. We code and bill GYN procedures performed in ambulatory surgery centers, including hysteroscopy, LEEP, D&C, and laparoscopic procedures. We coordinate with the facility to ensure professional and facility claims are consistent.
Comparison
How We Compare for Obstetrics and Gynecology billing
The difference is operational discipline. We focus on clean submissions, fast follow-up, and transparency.
Criteria
My Medical Bill Solution
Typical Provider
Specialty-specific billing workflows
Included
Often generic
Dedicated account ownership
Yes
Shared queue
Denial root-cause reporting
Weekly
Ad hoc
Claim submission speed
Within 24 hours
Varies
Communication cadence
Planned check-ins
Reactive only
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