Gynaecology Billing Services
Gynaecology and obstetrics billing come with their own set of complexities. From pregnancy-related care and ultrasounds to chronic gynaecological conditions and preventive screenings, each service has its own billing nuances, compliance requirements, and payer rules. Unlike general specialties, OB-GYN practices must handle bundled services, global maternity packages, and coordination between Medicaid, commercial, and self-pay patients.
Errors in coding or missing modifiers can lead to claim denials, underpayments, or compliance risks. That’s why working with a billing partner who understands the depth of OB-GYN care is crucial.
We offer specialty-specific billing solutions designed for gynaecologists, obstetricians, fertility specialists, and women’s health clinics. Our certified coders and billing experts manage everything from accurate code capture to payer follow-ups, ensuring you get paid correctly and on time.
What Makes Our Gynaecology Billing Service Different?
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Expertise in ICD-10, CPT, and HCPCS for OB-GYN
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24–48 hour claim turnaround
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98% clean claims rate
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<5% denial rate
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Global maternity billing accuracy
Pre-authorization and insurance verification
OB-GYN compliant claim scrubbing
Secure, HIPAA-compliant technology infrastructure
We support procedures from annual well-woman exams to complex surgeries like hysterectomies, laparoscopies, and IUD insertions, ensuring proper code capture, documentation, and payment.
Core OB-GYN Billing Services We Offer
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Insurance Verification & Authorization — We confirm policy coverage, co-pays, and required authorizations upfront.
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Charge Entry & Coding — Accurate assignment of OB-GYN-specific CPT, ICD-10, and HCPCS codes, including modifiers.
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Global Maternity Billing Management — We manage bundled timelines, track visits, and ensure inclusion/exclusion compliance
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Claim Submission & Clearinghouse — Clean claims submitted within 24–48 hours
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AR & Payment Posting — Reduce Accounts Receivable (AR) days to under 25 and speed up cash flow.
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Denial Management & Appeals — Resolve rejections quickly with a <5% denial rate.
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Patient Billing Support — Friendly statements, flexible payment options, and clear communication.
Few OB-GYN Billing Codes
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Annual Exams: 99395, 99396
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Pediatric and family dentists
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Pap Smear: Q0091, G0101
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Ultrasounds: 76801, 76805, 76811
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Prenatal Visits: Z34.XX
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Delivery Codes: Global packages (59400, 59610)
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Surgeries: 58150, 58180, 58674, 57522
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Biopsies & Colposcopies: 57454, 57500
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Contraceptives: 58300 (IUD Insertion), J7298 (Device supply)
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Laparoscopies & Hysterectomies: 58661, 58558
We also manage codes like O4227T, 19298, and coordinate medical necessity for procedures not bundled under global care in our gynecology billing in New York.
Key Outcomes for OB-GYN Practices
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35% increase in net collections
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Faster reimbursements—<7 days average
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97% first-pass resolution rate
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<25 days in AR aging
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Better staff efficiency and patient experience
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Full compliance monitoring for payer rules
Who We Serve
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Solo OB-GYN physicians
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Women’s health clinics
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Maternity hospitals and prenatal care centers
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Fertility and reproductive endocrinologists
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OB hospitalist groups
Why Gynaecology Billing Accuracy Matters
Accurate OB-GYN billing ensures you’re reimbursed for every service, without compliance risks. Our COBGC, AAPC, and AMA certified billing experts ensure documentation, coding, and claims work in sync, giving you faster payments and fewer denials.
Book a Free Gynaecology Billing Audit Today!
Frequently Asked Questions (FAQs)
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Yes. We scrub and submit claims within 24–48 hours.
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Codes like 58300 for insertion and J7298 for supply are standard. We also include related counseling and follow-ups.
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Absolutely. Our clients often see a 15–20% rise in collections through accurate coding and timely AR follow-ups.
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Yes. We integrate with all leading OB-GYN platforms.
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Yes. All systems and processes follow 100% HIPAA guidelines.
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We code conditions like preeclampsia, gestational diabetes, or C-sections using correct ICD-10 and modifiers.
