OB/GYN Medical Billing Services — Zero Denial Billing

What makes ob/gyn billing different

OB/GYN carries a billing structure no other specialty has: the global obstetric package. One code covers antepartum care, delivery and postpartum, billed once after delivery. That means months of work sit unbilled, and a single error at the end affects the entire episode.

The package breaks constantly, and correctly. A patient transfers in at 28 weeks, transfers out before delivery, delivers elsewhere, or has fewer antepartum visits than the package assumes. Each case has to be unbundled into individual codes, and practices that bill the global package anyway either lose money or create a refund.

Global package billed when it should be unbundled

Fewer than four antepartum visits, transfer of care, or a change of insurer mid-pregnancy all require itemised billing rather than 59400 or 59510.

Antepartum records not tracked across the episode

Visit counts determine which package applies. Without a running count nobody knows at delivery which code is correct.

Problem visits absorbed into routine antepartum care

A condition unrelated to the pregnancy is separately billable with the right modifier, and is routinely written off as part of the package.

Delivery method changed at the last moment

A planned vaginal delivery becoming a caesarean changes the code. If the note and the claim disagree, it denies.

Ask any billing company this

“How do you track antepartum visit counts across a nine-month episode?”

A company that bills your specialty properly will answer this in one sentence. A company that treats every specialty the same will answer it with a brochure.

A note on accuracy. Coding rules, coverage policies and payer edits change continually, and the specifics above reflect general practice rather than any individual payer contract or local coverage determination. Treat this page as a map of where to look, not as coding advice for a particular claim.