OB/GYN Billing That Pays What You Earn
OB/GYN billing is among the most complex in medicine: global obstetric packages, antepartum visit counting, delivery coding distinctions, and gynecologic procedure bundling all create significant denial risk. The transition from antepartum care through delivery and postpartum creates gaps that inexperienced billers routinely miss. 360Solutions assigns OB/GYN-specialised coders who manage global maternity packages, split-care billing, and gynecologic procedure modifiers with precision.
Where OB/GYN Practices Lose Revenue
These are the coding and billing pitfalls that cost ob/gyn practices the most — and where our specialised billers add the most value.
Global OB Package Complexity
The global obstetric package (59400/59510/59610/59618) bundles antepartum visits, delivery, and postpartum care. Counting antepartum visits correctly — and identifying when split-care billing applies — requires specialist knowledge that generalist billers lack.
Delivery Code Selection
Vaginal vs. cesarean, with/without antepartum care, attempted VBAC — each has its own code. Choosing the wrong delivery code results in underpayment, overpayment, or post-payment audit. Our coders verify delivery records before coding.
Gynecologic Procedure Bundling
Hysteroscopy, colposcopy, LEEP, and endometrial biopsy face aggressive payer bundling rules. We apply correct modifiers and unbundle legitimately separate services with supporting documentation.
Ultrasound & Imaging Splits
OB ultrasounds (76801–76828) require correct trimester coding, professional vs. technical component splits for hospital-based providers, and prior auth tracking. Errors here are among the most common OB denial triggers.
High-Risk CPT Groups
Code ranges payers audit most aggressively in OB/GYN.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
Antepartum visit count incorrect causing global package mismatch
Delivery code selected does not match operative note (vaginal vs. C-section)
Ultrasound billed globally when provider only performed professional component
Gynecologic procedure bundled with E&M on same date without modifier -25
Missing prior auth for elective cesarean or advanced ultrasound imaging
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for OB/GYN Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in ob/gyn coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From OB/GYN Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified ob/gyn billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.