We know why your postpartum visit got bundled.And how to stop it.
Reliable OBGYN Medical Billing and Coding Services
OBGYN billing covers the full spectrum of women’s health. Maternity bundles. preventive exams. contraception. surgeries. imaging. and infertility treatments. Each carries its own payer rules. Denials hit hardest when preventive and problem visits collide. When global maternity packages are miscoded. or when ultrasounds breach frequency limits.
Preferred MB manages every stage of OBGYN revenue. We separate bundled services. Protect preventive care. and capture procedures and devices with accuracy above ninety-eight percent.
- Double-digit reduction in maternity bundle denials
- 95%+ first-pass approvals on global obstetric claims
- 21-day average AR cycle
When Bundles and Benefits Clash. OBGYN Revenue Disappears
Revenue in OBGYN is lost not through one mistake but through small repeated conflicts. Bundles swallow unrelated visits. preventive and problem codes get collapsed. and device supply is quietly omitted.
Preferred MB builds OBGYN billing that matches payer logic. Global timelines are tracked. modifiers validate before submission. LCD mapping ties diagnoses to CPT. and device codes attach automatically. Nothing slips past unnoticed.
- Global maternity tracker flags incomplete documentation
- Modifier 25 validated for preventive plus problem visits
- Device supply HCPCS codes attached to every insertion
- Ultrasound claims checked against payer frequency limits
- ICD-10 diagnoses mapped to CPT for gynecologic necessity
- Sterilization consent timing monitored for compliance
- Denial routing with daily status by payer
Complete OBGYN Billing Oversight From Prenatal To Postpartum
We manage the entire OBGYN billing process with specialty focus. From pre-service verification to final payment posting. every step aligns with payer rules and women’s health coding needs
Capture Clean Documentation
- Link visit notes to prenatal. postpartum. or gynecologic categories
- Separate unrelated problems for additional payment
- Record preventive screenings with medical necessity
Submit With Precision
- Validate global vs delivery only vs postpartum only codes
- Confirm gynecologic procedures with NCCI edits
- Apply modifier 24 or 25 only when fully supported
Monitor EHR Integration
- Reconcile orders across Epic. Cerner. Meditech
- Attribute supervising providers correctly
- Detect missing IUD or implant codes before submission
Track Every Claim
- Validate place-of-service for hospital, ASC, or clinic claims
- Flag ultrasound and NST submissions against payer frequency edits
- Cross-check encounters against payer bundling rules before transmission
Resolve Denials Fast
- Build appeal templates with ACOG and payer citations
- Route denials by type for targeted and faster follow-up
- Submit supporting documentation for medical necessity validation
Manage AR Intelligently
- Segment AR by maternity bundle errors and device supply misses
- Track payer-specific denial patterns for proactive resolution
- Close cycles within 21 days with automated AR work queues
The Subtle Misses That Sink OBGYN Reimbursement
OBGYN billing errors often start before coding begins. Appointment types. benefits. and device documentation misalign. These issues rarely trigger rejections. Instead. they cause underpayment or lost revenue.
- Preventive visit with pelvic pain not split → downcoded
- Patient entering mid-pregnancy billed global → partial care unpaid
- IUD insertion billed without device → supply revenue lost
- Ultrasound repeated without indication → frequency denial
- Postpartum visit with depression not separated → denied as bundled
- Pap collection miscoded under Medicare → Q0091 missed
- Sterilization billed without Medicaid consent timing → rejected
- Contraceptive counseling miscoded as preventive → unpaid
Preferred MB bridges these gaps with intake retraining. EHR mapping. and pre-audits.
Are Workflow Gaps Silently Costing You ED Revenue?
Run this 5-point check — if you say yes to 2 or more. leakage is happening.
You Serve Different OBGYN Domains – We Back You In Your Specialty
We align OBGYN billing with clinical workflows. From maternity care to gynecologic procedures. every claim matches payer logic and captures full value.
Clinical Scenario
- Patient begins care mid-pregnancy
- Antepartum visits with complications documented
- Delivery scheduled with possible C-section
Billing Scenario
- Partial antepartum codes applied when needed
- Delivery only or global code selected appropriately
- Postpartum depression visit billed with modifier 24
Clinical Scenario
- Annual exam with Pap performed
- Patient reports pelvic pain
- Separate assessment documented
Billing Scenario
- Preventive code (99381–99397) applied
- Problem E/M added with modifier 25
- Q0091 billed for Pap collection when applicable
Clinical Scenario
- IUD inserted with ultrasound guidance
- Counseling documented in chart
- Device details recorded
Billing Scenario
- CPT 58300/58301 coded for insertion/removal
- Device supply HCPCS attached
- Ultrasound billed only if justified
Clinical Scenario
- High-risk pregnancy monitored
- Growth ultrasound performed
- Non-stress test documented
Billing Scenario
- CPT code selected based on test type
- Frequency limits applied by the payer
- 59025 (NST) and 76815 billed with necessity support
How Preferred MB Fits Into Every OBGYN Workflow
Instead of only looking at practice models. we focus on the workflow realities that drive women’s health billing. From bundled maternity care to contraception. we adapt coding and payer logic to every path.
Maternity Pathways
- Split global vs partial care when patients transfer mid-pregnancy
- Track unrelated postpartum visits for payment inside global windows
- Ensure depression screening and counseling are coded and paid
Surgical Gynecology
- Separate multiple procedures with correct sequencing
- Apply device billing for implants and meshes
- Capture post-op follow-up visits with modifier 24 when unrelated
Preventive & Screening Services
- Confirm annual exams align with payer frequency rules
- Split preventive from problem visits with modifier logic
- Apply Q0091 or G0101 when Pap collection is performed
Contraceptive & Device Services
- Attach HCPCS device supply codes to every insertion
- Validate ultrasound guidance only when justified
- Prevent revenue loss from missing counseling documentation
The Measurable Shift OBGYN Practices See With Preferred MB
We don’t just ensure compliance — we measure the revenue change across OBGYN services once payer logic is hard-wired into billing.
What practices typically experience
- Denials on global maternity claims reduced by 60%
- Ultrasound and NST frequency denials cut in half
- IUD and implant supply revenue captured at 98%+ rate
- Preventive + problem visit approvals increased to 95%+
- AR cycle shortened by more than 40%
97.3%
Clean claim rate after payer-specific edits applied
- Validate place-of-service coding unique to freestanding facilities
- Confirm commercial payer requirements before submission
- Prevent denials linked to non-hospital emergency sites
- Apply separate logic for urgent care vs ED-level claims
95.8%
First-pass approval rate for freestanding ED claims
- Categorize encounters correctly to prevent systemic downcoding
- Reconcile documentation against presenting symptoms and MDM
- Separate urgent care coding from ED-level coding within shared EHRs
- Monitor payer edits for repeated visit frequency
94.9%
Clean claim rate on hybrid urgent care/ED encounters
- Reconcile trauma activations with ED records
- Validate and log all critical care minutes with attestation
- Ensure procedures like intubation or chest tube placement are billed separately
- Apply payer logic for bundled trauma-related codes
96.4%
First-pass approval rate for trauma and critical care claims
ED Performance Before and After Preferred MB
Metric | Before Preferred MB | After Preferred MB |
Denial rate on 99291 Critical Care | 22% | 7% |
Average AR cycle | 40 days | 18 days |
Trauma activation charge capture | Missed frequently | 97% capture rate |
EKG claim approvals | Frequent denials | 96% first-pass approval |
Monthly revenue leakage per physician | $1,200+ lost | Documented $0 loss |
The Measurable Shift OBGYN Practices See With Preferred MB
We don’t just ensure compliance — we measure the revenue change across OBGYN services once payer logic is hard-wired into billing.
What practices typically experience
- Denials on global maternity claims reduced by 60%
- Ultrasound and NST frequency denials cut in half
- IUD and implant supply revenue captured at 98%+ rate
- Preventive + problem visit approvals increased to 95%+
- AR cycle shortened by more than 40%