OB/GYN Medical Billing & RCM
OB/GYN billing and coding solutions that master global maternity packages, surgical procedures, and every phase of your revenue cycle.
Revenue cycle management for ob/gyn
OB/GYN practices juggle some of the most intricate billing in medicine, from global maternity packages and split obstetric care to gynecologic surgeries and preventive screenings. Each requires careful coding across multiple care settings and shifting payer rules.
ClaimSphere RCM applies proven best practices to every stage of your OB/GYN revenue cycle, from patient access through denial management. Our certified coders keep collections strong and denials low while your team stays focused on women's health.
OB/GYN billing, done right
Global Maternity Billing
We correctly bundle and unbundle antepartum, delivery, and postpartum services and split care when patients change providers.
Surgical & Procedure Coding
Accurate CPT coding for hysterectomies, laparoscopies, C-sections, and gynecologic procedures, including component and add-on rules.
Global Period Management
We identify services billable outside the global period so separately reimbursable care isn't lost to bundling.
Eligibility & Authorization
Verification of pregnancy coverage, benefits, and prior authorizations across each patient's care journey.
Denial Management
Targeted appeals on maternity and surgical denials to recover revenue and prevent recurring errors.
Why ob/gyn practices choose us
- Certified coders versed in ICD-10, CPT, and HCPCS for women's health
- Expert handling of global maternity and split obstetric billing
- Compliance aligned with CMS and AMA guidelines
- Accurate global-period tracking that protects billable services
- Proactive denial prevention and strong AR follow-up
Frequently Asked Questions
How do you bill global maternity when a patient transfers care?
When a patient begins care with one provider and delivers with another, the global package must be split into antepartum, delivery, and postpartum components. We code each portion based on the visits actually provided so every practice is paid fairly for its share of care.
Can you bill services provided during the global period?
Yes. Problems unrelated to the pregnancy or complications beyond routine care can often be billed separately with the correct modifiers. Our coders review documentation to capture these services without triggering bundling denials.
Do you handle both obstetric and gynecologic surgical claims?
We code the full OB/GYN spectrum, from maternity care to laparoscopic and hysterectomy procedures. Our team applies the correct component, bilateral, and add-on coding rules so complex surgical claims are reimbursed accurately.
Specialized billing for ob/gyn practices
Get a free assessment of your revenue cycle from coders who know your specialty inside out.
Schedule a Consultation