OB/GYN Billing That Delivers Results and Maximizes Revenue
Global maternity packages, preventive care conversions, and gynecologic surgical bundling all demand specialty billing expertise. CureMed manages the complexity so your claims flow accurately and on time.
OB/GYN Billing by the Numbers
Measurable outcomes from OB/GYN practices using CureMed for their billing and coding.
First-Pass Acceptance Rate
Denial Rate Reduction
Revenue Increase
Average Days in A/R
Why OB/GYN Billing Is So Complex
OB/GYN practices manage global maternity packages, preventive-to-diagnostic coding distinctions, and surgical bundling rules that most billing companies handle incorrectly.
of OB/GYN claims are denied on first submission due to global package billing errors, preventive-to-diagnostic coding confusion, or missing modifier documentation.
AAPCin average annual revenue lost per OB/GYN from undercoded antepartum visits outside the global package, missed surgical add-ons, and incorrect preventive care billing.
of OB/GYN denials are caused by global maternity package billing errors or preventive visits incorrectly converted to diagnostic encounters.
AMAOB/GYN billing requires coders who understand global maternity packages, antepartum risk scoring, preventive care coding rules, and gynecologic surgical bundling. Without this expertise, revenue is lost on nearly every claim.
What's Included in CureMed OB/GYN Billing
End-to-end billing tailored to your OB/GYN practice's service mix and payer requirements.
Global Maternity Billing
Expert handling of global OB packages (59400, 59510, 59610) with correct antepartum visit counting, delivery coding, and postpartum billing.
Antepartum Risk Coding
Accurate coding for high-risk antepartum management, additional visits beyond the global package, and complication-related E/M services.
Preventive Care Coding
Proper coding for well-woman exams, Pap smears, and preventive screenings with correct preventive-to-diagnostic conversion when problems are identified.
Gynecological Surgery
Specialized billing for hysterectomy, laparoscopic procedures, D&C, colposcopy, and LEEP with correct bundling and modifier rules.
Contraceptive Services
Accurate billing for IUD and implant insertions/removals, including device coding and ACA-mandated preventive coverage requirements.
Prior Authorization Management
Proactive authorization tracking for gynecological surgeries, high-risk OB services, and advanced imaging studies.
How CureMed OB/GYN Billing Works
A five-step process from practice audit to ongoing optimization, built specifically for OB/GYN.
OB/GYN Practice Audit
We analyze your current claim patterns, global package billing accuracy, preventive care coding, and payer mix to build a custom billing strategy.
EHR Integration & Setup
Seamless connection with your OB/GYN EHR. We support all major systems and configure workflows for maternity tracking and surgical scheduling.
Specialty Coding & Submission
OB/GYN-specialized coders review every encounter, apply correct CPT/ICD codes with proper modifiers, and submit within 24 hours.
Payment Posting & Denial Management
Every payment posted, every underpayment flagged, every denial appealed with OB/GYN-specific clinical documentation.
Ongoing Optimization
Monthly reviews covering maternity package analytics, surgical billing performance, preventive care trends, and revenue optimization strategies.
Why Choose CureMed for OB/GYN Billing
Our OB/GYN billing team understands the unique coding landscape of women's health, from maternity packages to complex surgical billing.
Global Package Expertise
We code pregnancy care, antepartum complications, and delivery with accuracy across multiple visits, providers, and payer-specific package rules.
Proactive Prior Authorizations
We handle pre-approvals for ultrasounds, IUDs, biopsies, and surgical procedures before they delay care or payments.
Denial Pattern Monitoring
We track claim trends by procedure and payer, catching denial patterns early and correcting root causes before they compound.
Full Financial Visibility
Real-time dashboards tracking all claims, payments, outstanding A/R, and payer performance so you always know where your revenue stands.
OB-GYN CPT codes we handle every day
Global maternity bundling, ultrasound frequency limits, and preventive against diagnostic modifier rules. Our OB-GYN coders know where each line falls.
Global vaginal delivery
Antepartum, delivery and postpartum bundled. Watch for care that spans providers or gets interrupted.
Global cesarean delivery
The cesarean version of global obstetric care. Higher reimbursement, the same bundling considerations.
Obstetric ultrasound
Complete transabdominal, first trimester or later. Frequency limits vary by payer.
Total abdominal hysterectomy
Ninety day global. Modifier 22 for extended procedures, modifier 51 on concurrent ones.
Colposcopy with biopsy
Biopsy and endocervical curettage. Watch the J-codes on anything sent to pathology.
Preventive visit, 18 to 39
The well-woman annual. Cannot be billed the same day as a problem visit without modifier 25.
Where OB-GYN billing usually breaks
Three patterns account for most denials here. Our coders catch them before submission rather than after.
Global period rules
Global maternity claims denied when antepartum visits were billed separately, or when care spans providers without proper handoff coding.
Preventive against diagnostic
Well-woman visits denied when a problem is addressed in the same encounter without modifier 25 or a clear documentation split.
Ultrasound prior auth
OB ultrasounds past the first denied for missing prior auth or exceeding payer frequency limits.
OB-GYN-specific rules we track for you
Coverage policy moves constantly, and one missed update can deny a month of claims. We watch it so you do not have to.
Payer antepartum thresholds tracked
Most payers require thirteen or more visits for the full global. Fewer means itemised billing under 59425 or 59426, and the threshold varies by payer and by state Medicaid.
Coverage rules maintained per payer
Commercial payers typically cover three routine OB ultrasounds. Anything beyond that needs medical necessity documentation and usually prior auth.
Well-woman screenings billed correctly
The ACA requires zero-cost preventive care for well-woman visits, contraception and specific screenings. Miscoded, it bills as diagnostic and the patient gets a bill.
State-specific maternity rules tracked
Medicaid maternity rules vary dramatically by state. Some carve out specific services, some carry their own reporting requirements. We keep the rules per state you operate in.
Full-service OB-GYN billing
Everything the practice needs, from scheduling through final payment posting.
Global maternity billing
Antepartum, delivery and postpartum bundled correctly, unbundled only when clinically appropriate.
Obstetric ultrasound
Frequency tracked per patient, prior auth verified before every scan past the first.
Gynecological surgery
Hysterectomy, myomectomy, cystoscopy, with modifier 22 and 51 applied correctly.
Well-woman preventive
ACA-covered preventive services billed correctly, with no unexpected patient charges.
Fertility and MFM
Maternal-fetal medicine consults, high-risk OB, and infertility diagnostics coded correctly.
Dedicated manager
The same person answers when you have a global maternity question or need an appeal filed.
How a pregnancy becomes clean revenue at every stage
Global maternity is not one bill at the end. It is a five-stage process that starts at the first prenatal visit and closes after the postpartum one, and revenue leaks at every step that gets missed.
- 1
Confirmation visit
The first OB visit is billed separately. The global package only starts after confirmation.
Weeks 4 to 8 - 2
Antepartum care
Routine prenatal visits logged into the global package, with high-risk visits coded separately.
Weeks 8 to 40 - 3
Ultrasounds and labs
Ultrasounds billed outside the global under 76805 and 76811, with frequency tracked per patient per payer.
As indicated - 4
Delivery
Vaginal under 59400 or cesarean under 59510. A C-section after labour carries modifier 22 for the extended care.
Term - 5
Postpartum complete
The global package closes at the six week visit. Complications are billed separately with their own diagnosis codes.
6 weeks post
Patient transfers happen. When care moves mid-pregnancy or a delivery goes to another provider, we unbundle correctly using 59425, 59426 or the delivery-only codes. No revenue lost and no double billing.
“We are a five-provider OB-GYN group and our previous biller kept unbundling global maternity when they should not have, then missed billing our ultrasounds separately when they should have. CureMed fixed both in the first month.”
Frequently Asked Questions
Yes, CureMed manages comprehensive global maternity billing covering prenatal, delivery, and postpartum services.
Prior authorizations for ultrasound and surgical procedures are common. CureMed manages these to avoid payment delays.
Yes, we support current telehealth codes and documentation requirements for virtual OB/GYN visits.
Yes, all patient data is managed securely in compliance with privacy laws.
Office visit codes often range from 99201 to 99215, and a common obstetric package code is 59400 (covers antepartum, delivery, and postpartum).
Services That Complement OB/GYN Billing
Medical Billing
Specialty-specific edit sets, built on real claims history — not pulled off a shelf.
Learn More
Credentialing & Enrollment
Provider enrollment without the hundred-and-twenty-day idle.
Learn More
Revenue Cycle Management
End-to-end RCM ownership, from eligibility through last-dollar collected.
Learn MoreCurious what your revenue cycle is actually leaving on the table?
Spend 30 minutes with our revenue cycle team and we'll walk through your current setup, surface where money is leaking from denials, slow payer follow up, undercoded encounters, and quantify what cleaning it up is worth in your first 90 days. No prep, no slide deck, just a working conversation with people who do this every day.