Maximize reimbursements with our OB/GYN medical billing services.
Ob/Gyn Billing Services
Get 99% Clean Claim Rates for Women’s Health Practices
OB-Specific Coders—Experts in global maternity (59400-59622) and gyn surgery (58150-58679)
Denial Prevention—40% lower denial rates vs. general billers for prenatal visits (59425)
Postpartum Care Focus—Optimize billing for 59430 and lactation support (S9443)
EHR Integration—Seamless with Nextech, eClinicalWorks OB, and Epic OB
Medicaid OB Expertise—State-specific billing for high-risk pregnancy programs
Free Credentialing with Medical Billing
$499 / Month
Call / WhatsApp:
(716) 919-3969
Email:
support@rxcredentialing.com
www.rxcredentialing.com
Ob/Gyn
Medical Billing Services
- ✅ Smooth transition between EHR/EMR systems.
- ✅ Efficient Electronic Funds Transfer (EFT), EDI, and ERA setups.
- ✅ Claims submission within 24 hours.
- ✅ Prompt follow-up with payers for faster reimbursements.
- ✅ Free CAQH maintenance and provider revalidation.
- ✅ Comprehensive Revenue Cycle Management (RCM) services.
- ✅ Appeals, adjustments, and coding review included.
- ✅ Referral coordination with other practices and specialists.
- ✅ Reimbursement strategies for optimized billing.
Why 68% of OB/GYN private practices lose 15-30% of their revenue to these preventable issues
Biggest OB/GYN Billing Challenges
Global Maternity Billing Errors
Misusing global OB packages (59400-59430) or splitting prenatal/postpartum care incorrectly causes 35% claim denials.
Our Fix:
OB-certified coders achieve 96% accuracy in global fee billing
Gynecologic Surgery Underbilling
Missing mod-22 for complex procedures (58150-58679) or bundling errors leaves $12k+/year unclaimed.
Our Fix:
Surgical billing specialists capture 98% of eligible charges
Postpartum Care Gaps
68% of practices miss billing for 59430 postpartum care and lactation support (S9443), losing $8k+/practice.
Our Fix:
Automated postpartum visit tracking recovers 92% of missed services
Medicaid OB Compliance
State-specific rules for high-risk pregnancy programs (Z3A codes) result in 42% claim rejections.
Our Fix:
50-state Medicaid OB specialists ensure 100% compliance
Preventive Care Bundling
Improper Well-Woman Visit coding (G0101, Q0091) with problem visits triggers 30% payment delays.
Our Fix:
Preventive care modifiers (-25, -59) applied with 94% accuracy
Fertility Treatment Coding
Incorrect use of ART codes (58970-58976) and monitoring (S4021) causes 45% denials for REI practices.
Our Fix:
ASRM-compliant coding increases reimbursements by 35%
Schedule a Consultation with Our Medical Billing Experts
We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
OB/GYN Billing Services
Services We Offer
OB/GYN Medical Billing Services
Process
Benefits of Outsourcing
OB/GYN Billing
Global Maternity Billing
Expert management of global OB packages (59400-59622) with proper split-billing for high-risk pregnancies and postpartum care (59430).
22% higher reimbursements vs DIY billingGyn Surgery Coding
Precision coding for LEEP (57461), hysteroscopy (58555), and laparoscopy (58661) with proper modifier usage (-22, -51).
95% clean claim rateMedicaid OB Optimization
State-specific billing for prenatal care (Z3A codes) and high-risk pregnancy programs (Q0091).
100% compliance with local mandatesPreventive Care Billing
Maximize reimbursements for well-woman exams (Z01.419) with proper HPV screening (88175) and breast cancer risk assessment (G0447).
Capture 100% eligible servicesFertility & REI Billing
Specialized coding for IUI (58322), IVF (58970), and fertility preservation (S4011) with prior auth management.
40% faster prior auth approvalsPostpartum Care Focus
Comprehensive billing for lactation support (S9443), PPD screening (G8431), and contraceptive counseling (Z30.09).
Recover $12k+ in missed postpartum revenueOB/GYN Medical Billing
FAQs
How much do Ob/Gyn billing services cost?
We charge 5-8% of collections with no hidden fees. For small practices (<$20k/month), flat-rate plans start at $399/month.
Global OB packages available
Do you handle global maternity billing (59400-59622)?
Yes! We specialize in:
- Global OB packages (59400) with risk factor coding
- Postpartum care splits (59430)
- High-risk pregnancy modifiers (22)
What's your denial rate for gyn surgery claims?
Just 4.8% denials (vs. 18% industry avg) for:
- Hysterectomies (58150-58579)
- Laparoscopies (58662)
- Colposcopies (57452-57461)
How do you handle Medicaid maternity billing?
State-specific expertise in:
- Prenatal care bundles
- Postpartum extension programs
- NICU coordination billing
Can you bill for fertility services?
Specialists in:
- IUI/IVF monitoring (S4021)
- HSG (58340) with contrast billing
- Genetic testing (81228-81383)
Do you work with Ob/Gyn-specific EHRs?
Integrated with:
- Nextech OB
- eClinicalWorks OB Module
- Epic OB Flow
How do you prevent postpartum care underbilling?
Our system:
- Tracks 59430 windows (up to 12 months)
- Flags comorbid conditions (O26.9-O26.9)
- Captures lactation support (S9443)
What about urogynecology billing?
Experts in:
- Pelvic floor therapy (97032)
- Pessary management (57160)
- TVT slings (57288)
Is my patients' OB history data secure?
Beyond HIPAA:
- Pregnancy-specific encryption
- State abortion law compliance
- Fertility treatment anonymity
How quickly can you onboard our practice?
OB-specific timeline:
- 5 days for EHR integration
- 14 days for Medicaid OB credentialing
- 0 disruption to prenatal schedules
OB/GYN Medical Billing
Insurances Covered
Medicare
Medicaid
VA Health
TRICARE
ACA Marketplace
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
BCBS National
BCBS Alabama
Florida Blue
BCBS Michigan
Empire BCBS
Horizon BCBS
BCBS NC
Highmark BCBS
BCBS Texas
Premera BCBS
Kaiser Permanente
Molina
Centene
Oscar Health
Health Net
CDPHP
Capital Blue
Independence BC
CareFirst
Regence BCBS
UHC Medicare
Humana Medicare
Aetna Medicare
Cigna Medicare
BCBS Medicare
Trusted OB/GYN Medical Billing Services
Verified Results
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
Very attentive and efficient
Always available to explain things or answer questions or concerns
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
David is wonderful very responsive and on top his work. Great experience.
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.
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