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Exclusively OB/GYN · Women's Health RCM

Stop Losing Revenue
to OB/GYN Billing
Errors Your Biller
Can't Catch

OBGYNBillingPro is the only Revenue Cycle Management platform built exclusively for obstetrics and gynecology practices. From global maternity billing and GYN surgery CPT coding to AI-powered denial management — we recover every dollar your practice earns.

HIPAA-Compliant Infrastructure BAA Signed with Every Vendor CPC-OB Certified Coders No Setup Fee · No Lock-In
Live Performance Snapshot
First-Pass Acceptance Rate
98.2%
+14.1%
Avg Net Collection Rate
97.6%
+8.3%
Claim Denial Rate
1.4%
−17.5%
Average OB/GYN AR Days
18.3 d
−11.2 days
Total Revenue Recovered (2025)
$4.2M+
across 200+ OB/GYN practices nationwide
HIPAA SecureReal-TimeCPC-OB Certified
Certified & CompliantAAPCAHIMAMGMAHIMSSHIPAA Compliant ✓BAA Available ✓SOC 2 Type II ✓
The 2026 OB/GYN Billing Crisis

General Billing Is Costing OB/GYN Practices Millions

19% of in-network claims were denied in 2025. Coding-related denials surged 26%. The cost to rework one denied claim now averages $57.23 — and it's rising.

0%
of in-network claims denied in 2025
0%
surge in coding-related OB/GYN denials
$0.00
average cost to rework one denied claim
0%
avg revenue lost to denials & unbilled codes

Sources: 2025 AHA Uncompensated Care Report · AMA Denial Tracking Data · MGMA Practice Operations Report 2026

Full-Spectrum OB/GYN RCM

Every OB/GYN Billing Service Under One Roof

From global maternity billing and GYN surgery coding to AI-powered denial management and physician credentialing — purpose-built for women's health practices.

Global Maternity Billing

CPT 59400 · 59510 · 59610 · 59618

End-to-end management of global OB packages, antepartum billing splits, VBAC coding (CPT 59610/59618), postpartum care, and 2027 service-based transition planning.

Learn more →

GYN Surgery Coding

CPT 58570 · 58572 · 58662 · 57425

Expert CPT selection for laparoscopic, robotic (da Vinci), and open GYN procedures. Modifier 51/59/22 accuracy. Hysterectomy, myomectomy, and pelvic floor repair undercoding eliminated.

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AI-Powered

AI Denial Management

CO-97 · CO-4 · CO-22 · CARC/RARC

Agentic AI reads CARC/RARC denial codes, drafts appeal letters, and flags high-risk claims before submission. Predictive denial management purpose-built for OB/GYN payer rules.

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Revenue Cycle Management

Eligibility · AR Follow-Up · Collections

Full-cycle OB/GYN RCM from real-time eligibility verification through patient statement collections. Integrated with Athenahealth, eClinicalWorks, and NextGen Healthcare.

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Physician Credentialing

CAQH · Medicare · Medicaid · Commercial

Payer enrollment, CAQH profile management, NPI setup, and re-credentialing for new and established OB/GYN practices. Medicare, Medicaid, and commercial payer enrollment.

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Billing & Coding Audits

E/M Audit · Prospective · Retrospective

Prospective and retrospective OB/GYN coding audits uncovering hidden revenue and reducing OIG/RAC compliance risk. 2024 AMA E/M changes and modifier usage review included.

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2026 Rules

Telehealth Billing

POS 02 · POS 10 · Modifier 95 · GT

OB/GYN telehealth billing for 2026 payer rules. Audio-only visit coding (G0071, G2252), place-of-service accuracy, and payer-specific telehealth coverage for prenatal and GYN visits.

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New Practice

New Practice Setup

NPI · Fee Schedule · Payer Enrollment

Complete billing infrastructure for new OB/GYN practices: NPI setup, taxonomy codes, fee schedule optimization, payer contracting, EHR selection, and first-claim submission.

Learn more →
View All Services
Why Specialists Choose Us

Every OB/GYN Billing Problem — Solved
With Precision

General billing companies consistently underperform in this specialty. Global maternity packages, GYN surgical modifier rules, and payer-specific denials require CPC-OB certified specialists.

The Pain PointOur OB/GYN Solution
High OB/GYN claim denial ratesSpecialty-specific denial engine with payer rules built in — 1.4% denial rate vs. 19% industry avg
Global maternity billing errorsAutomated global period tracking, antepartum split billing, mid-pregnancy insurance change management
GYN surgery undercodingCPT-level review by CPC-OB certified coders — robotic, laparoscopic, and open procedure expertise
Lost revenue from missed LARC J-codesAI Revenue Leakage Scanner flags J7296–J7298 missing alongside CPT 58300 insertion procedures
Staff bandwidth limitationsFull-cycle RCM outsourcing with a dedicated account manager assigned per practice
Payer AI downcoding enginesAgentic AI generates structured, defensible clinical data for every appeal submission
2027 maternity code transitionService-based billing module already in development — clients get priority migration support
Rising cost to rework denied claims ($57)Predictive pre-submission claim scrubbing eliminates rework before claims leave your practice
Free Interactive Tool

How Much Revenue Is Your OB/GYN
Practice Losing Right Now?

Enter 4 numbers. Get a custom estimate of annual revenue leakage from claim denials, missed modifiers (QW, Modifier 25), global period timing errors ($100–$120 per pregnancy), missed LARC J-codes, and timely filing risk.

Calculate My Revenue Leakage →

Takes 2 minutes · No credit card · No commitment

Onboarding in 5 Steps

From Free Audit to Optimized Revenue — Fast

Most practices are fully onboarded in under 5 business days. No billing gaps. No disruption to your existing workflow.

01

Free Audit

We analyze 90 days of claims and map every denial pattern, missed code, and revenue gap — at zero cost to you.

02

Custom Setup

Payer mapping, fee schedule review, and EHR integration configured in 5 business days.

03

Transition

Seamless handoff with no billing gaps. We manage payer re-enrollment and staff onboarding.

04

Live Billing

Real-time claim submission, AI denial management, and full AR monitoring begins immediately.

05

Optimize

Monthly performance reports, peer benchmarks, and proactive CPT/ICD-10 update education.

Client Results

Real Revenue. Real OB/GYN Practices.

Join 200+ obstetrics and gynecology practices that have recovered millions in lost revenue with OBGYNBillingPro.

Our first-pass acceptance rate jumped from 71% to 96.4% in the first 90 days. We recovered over $380,000 in previously denied global maternity claims. OBGYNBillingPro knows this specialty better than any biller we've ever used.

Dr. Rachel Nguyen
Pinnacle Women's Health Group
Austin, TX

They caught 14 months of missed LARC J-codes our previous general billing company never flagged. That single audit finding alone recovered $92,000 in unbilled revenue.

Dr. Marcus Osei
Sunrise OB/GYN Associates
Atlanta, GA

The global period tracking dashboard changed our workflow entirely. Mid-pregnancy insurance changes used to derail our entire billing cycle. Now they're handled automatically.

Maria Espinoza
Women's Care of the Southwest
Phoenix, AZ
View All Case Studies
⚠ 2027 CODE TRANSITION ALERT

CMS Is Eliminating Global Maternity Packages in 2027

The shift from global OB billing to service-based maternity billing will require a complete rebuild of your billing workflow, fee schedule, and payer contracts. Practices that don't prepare now face catastrophic revenue disruption the day the codes change. The 2027 maternity billing transition is the biggest coding overhaul in obstetrics in two decades.

Get the 2027 Transition Guide →
Global Packages Eliminated
Each prenatal visit, delivery, and postpartum service billed individually. No more bundled OB packages.
Fee Schedule Rebuild Required
Contracted rates for individual visit codes must be renegotiated with every commercial payer before the transition date.
We're Already Preparing
Our 2027 service-based maternity billing module is in active development. Current clients get priority migration access.
OB/GYN Billing Knowledge Hub

CPT & ICD-10 Updates,
Billing Guides & Denial Playbooks

View All Posts
Start Recovering Revenue Today

Ready to See What Your OB/GYN Practice Is Really Owed?

Book your free OB/GYN billing audit. We analyze 90 days of claims, map every denial pattern, missed global maternity code, and unbilled GYN procedure — and show you exactly how much you're leaving on the table. Zero cost. Zero commitment.

Book Free Revenue Audit →Try the Calculator

No commitment · HIPAA-secure · Response within 1 business day · OBGYNBillingPro.com