Home Specialities OB-GYN
OB-GYN blends routine gynecological visits with global maternity packages spanning months. Antepartum, delivery, and postpartum pieces must be tracked or revenue gets lost.
Diagnostics: Gynecological imaging and testing coded to the correct component.
Procedures: In-office and surgical work are captured at their proper level of service.
Deliveries: global maternity periods are managed across long timelines, so nothing falls through.
OB-GYN blends routine gynecological visits with global maternity packages spanning months. Antepartum, delivery, and postpartum pieces must be tracked or revenue gets lost.
Diagnostics: Gynecological imaging and testing coded to the correct component.
Procedures: In-office and surgical work are captured at their proper level of service.
Deliveries: global maternity periods are managed across long timelines, so nothing falls through.
Accurate billing. Faster reimbursements. Stronger revenue cycle management for cardiology practices focused on exceptional patient care.
Our mission is to simplify cardiology billing workflows, reduce denials, improve collections, and maximize reimbursements while supporting better heart care.
Cardiology Practices Trust Us
Reduce denials and speed up approvals.
Improve cash flow and reimbursement cycles.
Secure and compliant cardiology billing process.
OB-GYN billing operates under two distinct coding frameworks that must be managed accurately and simultaneously. Our team ensures every claim is accurate, compliant, and supported by the clinical documentation needed to protect your reimbursement across obstetric care episodes and gynecologic service encounters.
OB-GYN benefits, maternity coverage, authorization requirements, and network status verified before every patient encounter.
Antepartum visits, delivery services, and postpartum care tracked accurately within each global maternity package.
Office procedures, minimally invasive surgeries, and diagnostic services coded accurately under the right CPT and payer-specific rules.
Services outside the maternity package identified and billed separately to capture all eligible reimbursement opportunities.
Well-woman exams and preventive screenings billed correctly using appropriate preventive care codes and modifiers.
Aging OB-GYN accounts identified and worked systematically with transparent financial reporting delivered to your practice on schedule.
Our billing process tracks every pregnancy episode and gynecologic encounter from first visit through final payment without gaps.
Obstetric records, operative notes, and gynecologic visit documentation are securely submitted through our platform after every clinical encounter.
Our specialists review global package inclusions, complication coding, and preventive visit distinctions before any claim is transmitted.
Claims are electronically batched and transmitted to payers within 24 to 48 hours of receiving complete clinical documentation.
We monitor every claim through adjudication and engage payers directly when processing delays or medical record requests arise.
Denied claims get reviewed with supporting obstetric or gynecologic documentation and resubmitted through the appropriate appeal channel promptly.
Global and non-global payments get reconciled separately and posted accurately, with regular financial reports delivered to your practice.
The right billing support for every OB-GYN practice structure.
Solo and group OB-GYN physicians managing a combined obstetric and gynecologic patient panel who need accurate global package billing, preventive care coding, and procedure claim management across a high-volume mixed schedule.
Solo and group OB-GYN physicians managing a combined obstetric and gynecologic patient panel who need accurate global package billing, preventive care coding, and procedure claim management across a high-volume mixed schedule.
MFM practices managing complicated pregnancies who need accurate antepartum care coding, complication and additional procedure billing outside the global package, and payer-specific high-risk maternity benefit coordination.
MFM practices managing complicated pregnancies who need accurate antepartum care coding, complication and additional procedure billing outside the global package, and payer-specific high-risk maternity benefit coordination.
OB-GYN practices with a surgical focus including hysterectomy, myomectomy, endometriosis, and minimally invasive gynecologic procedures who need accurate laparoscopic and open procedure coding, assistant surgeon billing, and prior authorization management.
OB-GYN practices with a surgical focus including hysterectomy, myomectomy, endometriosis, and minimally invasive gynecologic procedures who need accurate laparoscopic and open procedure coding, assistant surgeon billing, and prior authorization management.
REI practices providing fertility evaluation, ovulation induction, IUI, and IVF services who need accurate procedure coding, payer-specific infertility benefit management, and prior authorization tracking across multi-cycle treatment plans.
REI practices providing fertility evaluation, ovulation induction, IUI, and IVF services who need accurate procedure coding, payer-specific infertility benefit management, and prior authorization tracking across multi-cycle treatment plans.
OB-GYN billing combines prenatal care, surgical procedures, and global billing rules that can complicate reimbursement. Below is a look at common issues and how our team manages them effectively.
Our OB-GYN billing approach improves reimbursement across maternity, surgical, and preventive services while reducing denials related to global billing rules.
Healthcare providers across the country rely on OneMed Billing to manage their revenue cycle with accuracy, consistency, and specialty-specific expertise. Here is what some of them have to say.
“Global package codes were being submitted without verifying the antepartum visit count and we were consistently miscoding the package level. OneMed built a visit count reconciliation step into the billing process and our obstetric global package accuracy improved measurably within the first cycle. ”
“Delivery complications were being absorbed into the global package instead of billed separately and we were losing reimbursement on complicated deliveries without realizing it. OneMed identified the pattern, corrected the coding process, and we started capturing that revenue. ”
“Prior authorization for hysterectomies was not consistently confirmed before cases were scheduled and we had several post-service denials on completed surgeries. OneMed built a pre-scheduling authorization verification step and we have not had an authorization-related denial on a surgical case since. ”
Yes. We manage the full OB-GYN billing mix including obstetric episodes, gynecologic office visits, preventive care, and surgical procedures, applying the correct coding rules and payer policies for each service type.
Yes. We work with most major OB-GYN EHR and practice management platforms and can integrate with your current workflow without requiring a system change.
We code partial obstetric care correctly for the antepartum, delivery, or postpartum components your practice provided, applying the appropriate partial care CPT codes per payer-specific billing guidelines.
Yes. We confirm prior authorization requirements per payer before procedures are scheduled, submit authorization requests with supporting clinical documentation, and monitor approval status through the date of service.
We review the prenatal visit records, confirm the correct visit count, correct the global package code if applicable, and resubmit the claim within our standard turnaround window with documentation supporting the billed package level.
