Specialty billing · Obstetrics & Gynecology
Two specialties sharing one tax ID. Each paid a different way.
Get more of your maternity and well-woman claims paid the first time: 247 Medical Billing Services runs obstetrics and gynecology billing services end to end for OB/GYN groups, maternal-fetal-medicine practices, and women's-health clinics billing Medicaid, commercial, and managed-care payers. A dedicated account manager, a free 360° reporting dashboard, HIPAA and SOC 2 Type II security, and certified coders working your claims since 2005.
OB/GYN is really two specialties sharing one tax ID, and each one is paid in a way that trips up general billers.
Prenatal care, a delivery, and postpartum recovery bundle into a single global maternity code billed once after birth.
One ticket, the biggest you bill
A well-woman visit, a same-day problem, a contraceptive device, a colposcopy, and a hysterectomy each answer to a different set of preventive, screening, and global-surgery rules.
Every line on its own rulebook
Get either half wrong and the money leaks quietly, one unbundled visit or one defective consent form at a time. Here is what we manage on every claim so it is paid to its true value — nothing bundled away, nothing left uncaptured, nothing billed in a way that invites a recoupment. Code families are noted for precision:
| Where money is won or lost | What it is | What we manage |
|---|---|---|
| The global maternity package | Routine antepartum care + delivery + postpartum bundled into one code (59400 vaginal / 59510 cesarean / 59610 VBAC / 59618) billed once after delivery | Global-or-components decision on every episode, correct delivery route, and the separately billable carve-outs captured without double-billing |
| Split & transferred maternity care | Component codes when the group didn't provide the full continuum | Antepartum-only (59425/59426), delivery-only (59409/59514/59612), and postpartum-only (59430) coded to the visits and stages actually rendered |
| OB diagnostics & high-risk work | Ultrasounds, testing, and antenatal procedures outside the global | Ultrasound family (76801–76817) with the professional/technical split, plus NST (59025), amniocentesis, and BPP billed to documented indication |
| Well-woman & the same-day problem | Preventive E/M plus a separately significant problem visit | Age-banded preventive codes, Medicare's screening pathway (G0101/Q0091), and modifier 25 applied only when a distinct problem is documented |
| Contraception & the device supply | Insertion/removal procedure plus the device billed separately | IUD/implant procedures with the correct quarterly HCPCS device J-code and the contraceptive-management diagnosis that triggers ACA $0 cost-share |
| GYN procedures & surgery | In-office procedures and OR cases under the global surgical package | Colposcopy, LEEP, hysteroscopy, and hysterectomy coded with the correct global period and post-op modifiers (24/58/78/79) |
insideFolded into the global fee. Billing these visits separately is the number-one OB audit target.
76801–76817 · 59025Genuinely separate services billed on top of the global, to documented indication.
59400 · 59510 · 59610The route confirmed and the global billed once, after birth.
59425/59426 · 59409 · 59430When the group didn't provide all three stages, the component codes take over.
Most women's-health losses trace back to the same handful of failure points, and each one is preventable before submission rather than argued after a takeback. We close every one at the front end, before it becomes a denial or a recoupment. Procedure and coverage codes are noted for precision:
Unbundling routine antepartum visits from the global (59400/59510)
Unbundling denial
We fold routine prenatal care into the global fee and bill only the genuinely separate carve-outs
Double-billing the global plus antepartum/delivery/postpartum components
Recoupment and overpayment exposure
We choose global OR components for each episode — never both — reflecting the care actually rendered
Billing full global when the group didn't provide all three stages
Postpay takeback
We use the split codes (59425/59426, 59409/59514, 59430) when care was transferred or incomplete
Medicaid/Title X sterilization (58600/58611/58670) without a valid, timely consent form
Automatic claim denial, no appeal path
We verify the compliant, correctly-timed federal consent form on file before the claim is submitted
Well-woman preventive plus problem E/M (99202–99215) without modifier 25
Bundled problem E/M written off, or modifier-overuse audit
We append modifier 25 only when a distinct, documented problem service supports it
Screening Pap/pelvic (G0101/Q0091) miscoded as diagnostic, or vice versa
Frequency denial and patient-billing complaints
We match the screening-vs-diagnostic code to the patient's symptomatic status and the coverage frequency
IUD/implant insertion (58300/11981) billed without the device J-code
Uncaptured device cost eaten by the practice
We bill the current quarterly HCPCS device supply code alongside the insertion
Each of these is fixable before the claim goes out instead of chased after the money is gone. Request a revenue review and we'll show you which of them is hitting your remittances right now.
Very few practices can keep a coder fluent in both the global maternity package and the quarterly-changing contraceptive device codes sitting on staff full-time — and the day that one person is out sick or leaves, the largest claims in the practice start going out wrong.
That is the real case to outsource OB/GYN billing services: you hand both halves of the specialty to an OB/GYN billing company that lives in these rules every day and never takes a vacation from them. Because the global delivery fee is the single biggest ticket you bill and the sterilization consent rule denies claims no appeal can rescue, the price of learning on your own remittances is counted in five-figure takebacks, not rounding errors.
Every claim is scrubbed and filed within 24 hours, so the global delivery fee that used to sit in a hold queue for weeks after the birth starts landing in your account on time.
Practices typically see these numbers, well past the first quarter:
Everything it takes to move an OB/GYN claim from the encounter to paid runs on one certified team — the model behind professional OB/GYN billing services, not a general biller bolting maternity onto a generic workflow:
Maternity coverage, network status, prior-authorization requirements, and contraceptive-mandate benefits confirmed before care, not discovered after the denial.
Every pregnancy episode reviewed to decide global versus components, the delivery route confirmed, the antepartum visit count documented to justify 59425 versus 59426, and the separately billable ultrasounds and labs captured without ever double-billing the global.
Preventive and problem-oriented work coded to the right preventive tier, the correct screening-versus-diagnostic Pap and pelvic codes, and modifier 25 applied only where a genuinely separate problem is on the record.
Every Medicaid and Title X sterilization checked for a valid, correctly-timed federal consent form before the claim goes out, and each IUD or implant billed with its current device supply code so the practice isn't eating the cost of the device.
Women's-health coders assign obstetric O-codes with the required trimester and weeks-of-gestation characters, and physicians, CNMs, NPs, and PAs are enrolled and re-credentialed so nothing rejects on provider eligibility or attribution.
Every denial worked to root cause, including unbundling, consent-form, medical-necessity, and modifier-25 denials, appealed inside each payer's clock.
Aged claims pursued relentlessly across Medicaid, commercial, and managed-care maternity payers until they resolve.
Behind all of it sits end-to-end revenue cycle management — the full stack, built for women's health, with certified coders and billers on one team sharing the same record instead of handing claims back and forth between vendors.
Revenue review
A certified women's-health specialist puts a dollar figure on what your split maternity claims, denied sterilizations, and aged A/R are actually costing.
An OB/GYN billing specialist will reach out within one business day.
An OB/GYN billing specialist will reach out within one business day.
A generalist learns OB/GYN on your claims. An OB/GYN billing services company shows up already fluent in both halves of it — and the difference lands on the remittance:
The rules shift with the setting and the patient mix, and we bill each one to the detail it demands:
Combined obstetric and gynecologic caseloads where the global maternity package and the well-woman modifier logic decide the month's collections.
What decides the moneyThe global package and modifier logic
Heavy ultrasound, antenatal-testing, and complication management, where each scan and each out-of-global service has to stand on documented medical necessity.
What decides the moneyDocumented necessity on every scan
Nurse-midwife deliveries and prenatal care that live or die on correct incident-to and supervision attribution alongside the maternity rules, often with newborn charges that cross into pediatric billing.
What decides the moneyAttribution alongside the maternity rules
Hysterectomy, myomectomy, hysteroscopy, and sterilization work under the global surgical package, where post-op modifiers and global periods drive clean payment; groups with heavy female-continence and urodynamic caseloads see the same rigor we bring to urology billing.
What decides the moneyGlobal periods and post-op modifiers
Contraception, Title X, and Medicaid-heavy caseloads where device coding and consent-form compliance are the difference between paid and denied.
What decides the moneyDevice coding and consent compliance
Moving your billing to us shouldn't put a hole in your cash flow, and it doesn't.
We work inside the practice-management and EHR systems you already run, so no one has to learn a new platform.
A named account manager owns the transition from day one, credentialing and payer-enrollment review run in parallel while your claims keep going out the door, and most OB/GYN practices are fully live within a few weeks.
With no long-term lock-in, you stay because the remittances hold, not because a contract says you have to.
The denial drop and the faster A/R turn up in the first billing cycles, not a quarter down the road.
The largest claims in your practice landing at full value, the first time.
The global delivery, the surgical cases, the well-woman panel. We make the global-or-components call on every pregnancy, keep routine antepartum visits inside the package so nothing unbundles, reconcile well-woman and problem visits so neither cancels the other, and capture the contraceptive device supply your practice would otherwise absorb. That is the payoff of OB/GYN Billing Services handled by a team fluent in both halves of the specialty rather than a generalist bolting maternity onto a generic workflow: fewer takebacks, a first-pass clean-claim rate near 99%, and the delivery fee paid on time instead of aging in a hold queue for weeks after the birth. Medical billing for OB/GYN this precise is how you stop leaking revenue one unbundled visit at a time. Request a revenue review
Sign the OB/GYN Billing Services provider that is genuinely fluent in both halves of the specialty, and you stop losing the biggest tickets in the practice to unbundling denials, defective consent forms, and modifier-25 write-offs.
What changes hands
Outsource OB/GYN Billing to 247MBS and you stop betting the practice's largest claims on whether one in-house coder is in the building that week. Both halves of the specialty move to a certified team that lives in these rules every day — global-or-components coding, sterilization consent verification, device supply capture, denial work, and appeals sharing one record instead of claims passed between vendors.
Outsourcing OB/GYN Billing Services means the delivery fee is scrubbed and filed within 24 hours, denials trend down cycle over cycle, and days in A/R hold under 25 well past the first quarter.
OB/GYN Billing Services Outsourcing also trades a salary, benefits, and vacation-day risk for a transaction-based fee you pay only against claims that actually move, with a live dashboard so you always see the work. Ready to hand it off? or call +1 888-502-0537.
24 HOURSThe delivery fee scrubbed and filedNO GAMBLENot resting on who is in the building that weekPAY ON MOVEA fee against claims that actually moveWhether you're a solo OB/GYN, a multi-provider women's-health group, a maternal-fetal-medicine practice, a midwifery program, or a gynecologic surgical group, our obstetrics and gynecology billing services protect every global delivery, every well-woman visit, every device, and every dollar of aged A/R. Hand the global maternity package, split-care coding, sterilization compliance, and the well-woman modifier rules to a team that treats them as routine — and put the revenue you're leaving on the table back where it belongs.
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