MBS for Physicians
OBGYN
Billing Services
Optimize Your Practice Revenue & Billing Efficiency
Getting Started
Our ObGyn medical billing services simplify billing processes and enhance revenue cycle management for women’s healthcare providers.
From routine care to advanced procedures, we manage the complexities of ObGyn billing, enabling practices to focus on exceptional patient care while ensuring financial efficiency.
Medical Billing At A Glance
Discover key insights that reflect our dedication to efficient coding practices and maximized reimbursement outcomes.
Claims Processing Metrics
First Pass Resolution Rate
Percentage of claims paid successfully on first submission.
Average Days to Payment
Average number of days it takes for claims to be paid, typically within 21 days.
Financial Metrics
Net Collection Rate
Percentage of total charges collected successfully.
Denial Resolution Velocity
Average number of days taken to fix and resolve a denied claim, typically within 30 days.
Operational Metrics
Average Monthly Claims
Volume of claims submitted.
Staff Productivity Rate
Claims processed per biller per day.
OBGYN Billing Services
Ensuring accurate coding and faster reimbursements for improved financial performance and compliance.
ObGyn is a complex specialty that involves a high volume of claims for services spanning Obstetrics, Gynecology, Anesthesia for procedures, and Family Planning. Managing these claims requires precision and expertise due to the intricate nature of coding for laboratory tests, abortion cases, anesthesia billing, and family planning services.
Our dedicated ObGyn medical billers and coders have years of experience working with obstetricians and gynecologists across the U.S. They are trained to handle the unique coding complexities of ObGyn services, ensuring accuracy and efficiency in every claim filed.
We focus on streamlining your revenue cycle and accelerating claim processing times. Our team initiates follow-ups on claims pending beyond 18 days and improves the overall claim cycle to a 21–25 day window, ensuring quicker reimbursements.
Key Features:
- Precise coding with ICD-10 and CPT standards.
- Skilled submission of both paper and electronic claims.
- Active follow-up for pending and underpaid claims.
- Pre-authorization support to avoid treatment delays.
Our in-depth expertise in ObGyn billing codes drives optimal revenue generation for healthcare practices.
HCPCS code J2675 (Injection, progesterone) offers significant revenue opportunities.
HCPCS codes G0101 and Q0091 are typically reimbursed once annually, unless justified by medical necessity.
CPT code 59514 (Cesarean delivery only) requires assistant surgeon involvement to qualify for full reimbursement, given the complexity of the procedure.
The rising complexity of medical cases, growing market competition, and strict billing regulations make efficient billing critical for ObGyn practices. Our services empower physicians to concentrate on patient care while maintaining a consistent and healthy revenue stream.
Key Benefits of Partnering with Us:
Denial-free medical reimbursements for faster revenue cycles.
Complete support for individual physicians, multi-specialty groups, clinics, and hospitals.
Customized billing solutions tailored to meet diverse ObGyn requirements.
We take pride in combining strong industry credentials with cutting-edge technology to deliver efficient, accurate, and fully compliant billing solutions for ObGyn practices.
Credentials and Expertise:
Certified by the American Association of Professional Coders (AAPC).
Experienced in top medical billing platforms such as NextGen Healthcare, Epic, Cerner, AthenaOne, and eClinicalWorks.
Proficient in CPT, HCPCS, and ICD-10-CM coding, strictly aligned with CMS and HIPAA guidelines.
Proven success working with major insurance providers including UnitedHealthcare, WellPoint, Aetna, Humana, HCSC, Blue Cross, and public payers like Medicare and Medicaid.
Our ObGyn billing specialists offer unmatched expertise in managing billing for a variety of ObGyn subspecialties, ensuring accurate coding and smooth claims processing.
Subspecialties Covered:
Maternal-Fetal Medicine
Reproductive Endocrinology and Infertility
Gynecological Uro-gynecology and Pelvic Reconstructive Surgery
Advanced Laparoscopic Surgery
Family Planning
Pediatric and Adolescent Gynecology
Menopausal and Geriatric Gynecology
Our comprehensive ObGyn billing services are tailored to streamline your revenue cycle, increase collection rates, and reduce claim denials. Through accurate charge capture, precise procedure coding, and strict compliance with HIPAA standards, we ensure:
Key Outcomes:
Boosted patient inflow and enhanced referral rates.
Expanded opportunities for medical research and development.
Strengthened financial stability and sustainable practice growth.