Global package unbundling
Visits billed inside the global denied. We track global periods per pregnancy and bill only what is outside them.
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OB/GYN medical billing services
OB/GYN billing splits into global obstetric packages and itemized gynecology, with rules on what the global includes, when to unbundle and how to bill when care transfers between providers. Gynecologic procedures, ultrasound and in-office services add component and modifier rules.
What makes OB/GYN billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether OB/GYN claims pay the first time.
- Global OB packages (59400, 59510, 59610) include antepartum visits, delivery and postpartum care; billing included visits separately is a denial and a compliance issue.
- When a patient transfers in or out mid-pregnancy, antepartum visits are billed per the number of visits (59425, 59426) rather than the global.
- Obstetric ultrasound codes are specific to trimester and purpose, with limits on frequency without medical necessity.
- Gynecologic procedures — colposcopy, LEEP, IUD insertion with the device code — need the right pairing of procedure and supply codes.
Denials we see most in OB/GYN
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Transfer-of-care billing
Antepartum visits billed as global after a transfer. We apply visit-count codes correctly.
Ultrasound frequency
Repeat ultrasounds denied for medical necessity. We code indications precisely and check policies.
How Core MB bills for OB/GYN
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new OB/GYN providers runs in the same system, tracked live in your client portal.
- Pregnancy-level tracking of global packages and transfers.
- Ultrasound coding by trimester, purpose and medical necessity.
- Procedure and supply pairing for in-office gynecology.
Everything in the service
The full revenue cycle as standard for OB/GYN practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
OB/GYN billing questions
What is included in the global OB package?
Routine antepartum visits, the delivery and routine postpartum care. Complications and unrelated problems can be billed separately with the right documentation; routine visits cannot.
How do you bill when a patient transfers care?
By the number of antepartum visits provided, using the visit-count codes rather than the global package.
Do you bill in-office procedures like IUD insertion?
Yes, with the procedure code and the device code paired correctly, and with authorization where the payer requires it.
How do we get started with Core MB for OB/GYN billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new OB/GYN providers can start at the same time.
Find out what your OB/GYN billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.