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Simplify Your Revenue Cycle With Expert OB/GYN Billing Services
Tired of chasing denied claims and waiting on slow payments? Our OB/GYN billing services take the entire revenue cycle off your plate. Most practices see a measurable increase in collections within the first quarter, without adding a single person to their staff.
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Why OB/GYN Billing Goes Wrong
OB/GYN billing is one of the most specialized areas in medical billing. Most practices don't realize how much revenue they're losing until they see the numbers. Here's where it typically goes wrong
Global Package Billing Gets Unbundled Incorrectly
Most billers don't know what's inside an OB/GYN global package. They bill visits separately and trigger denials or absorb services that should be billed outside the global. Either way you lose money. Our team knows exactly what belongs inside the global and what doesn't so every claim goes out correctly, compliantly, and at the highest rate you're owed.
GYN Procedures Get Undercoded
Generalist billers default to lower-paying codes because the higher ones feel risky without specialty knowledge. That caution costs your practice thousands every month. We match your operative notes to the highest defensible CPT code and flag documentation gaps before the claim goes out so you get paid what the procedure is actually worth.
Delivery Codes Get Mixed Up More Than You'd Expect
Vaginal, C-section, VBAC, complicated deliveries each have their own CPT code. One wrong code and the claim comes back denied or underpaid. We assign the right delivery code from the operative report every time, including modifiers for complicated deliveries and assistant surgeon billing. Nothing gets undercoded.
Prior Auth Gets Missed
GYN procedures almost always need prior authorization. When it's not in place the claim gets denied and by the time you find out it's usually too late to fix it. We verify auth requirements before every scheduled procedure, secure approval in advance, and track expiration dates so your team never performs a procedure that won't get paid.
Payer Rules for OB/GYN Get Ignored
Medicaid, Medicare Advantage, and commercial payers all handle OB/GYN billing differently and a generalist biller rarely keeps up with all of them. We maintain payer-specific rules for every carrier your practice works with so every claim goes out matched to that payer's exact requirements from day one
Modifiers Get Applied Incorrectly
OB/GYN claims rely heavily on modifiers and using the wrong one or leaving one out triggers instant denials or reduced payments. Most generalist billers apply them inconsistently and don't catch the error until it's too late. We apply the correct modifier to every claim based on the procedure, the payer, and the documentation before the claim ever goes out.
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What end-to-end OB/GYN billing actually looks like
OB/GYN billing has more moving parts than almost any other specialty. Global packages, delivery codes, modifier requirements, and payer-specific rules mean one mistake anywhere leads to a denied or underpaid claim. Our team manages your entire revenue cycle so every procedure gets coded correctly, submitted cleanly, and paid on time.
Eligibility and benefits verification
Before the first prenatal visit or GYN procedure, we confirm insurance coverage, maternity benefits, global package inclusions, referral requirements, and prior authorization obligations. Your team delivers care knowing the billing is already covered.
Prior authorization tracking
We submit prior auth requests for elective GYN procedures, log every approval with its validity window, and initiate renewals before coverage lapses. Hysterectomies, laparoscopies, and fibroid treatments are never filed without an active authorization on file.
Claim build and pre-submission scrubbing
Claims are built with accurate code selection, modifiers, diagnosis linkage, and documentation references. Our scrubber flags errors before the claim reaches the clearinghouse. This is how we maintain a 98.9% clean claim rate.
Denial management with root-cause analysis
Every denial gets reviewed, root-caused, and appealed with full supporting documentation. We track denial patterns across your claim volume to catch systemic coding or documentation issues before they compound into bigger revenue losses.
AR follow-up and payment reconciliation
Unpaid claims are worked by aging bucket with consistent follow-up until resolved. Payments are posted and reconciled against expected reimbursement. Underpayments on delivery codes, GYN procedures, and global packages are flagged and disputed.
OB/GYN Practice Owner, Houston TX
⭐⭐⭐⭐⭐
"We had no idea our global package billing was wrong until 3 Axis did an audit. They found errors we had been making for months. Within 60 days our collections went up by nearly 24% and our denial rate dropped to under 5%. Best decision we made for our practice.
Dr. Sarah Mitchell
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