- Specialized Women's Health Billing
OBGYN MEDICAL BILLING SERVICES
Specialized Billing for Women’s Health, High-Risk Pregnancies & Surgical OB/GYN Care
OBGYN billing is one of the most misunderstood, underpaid, and incorrectly coded specialties in the country.
Between global maternity billing, ultrasound bundling rules, preventive vs problem visits, and strict payer documentation requirements, even small errors create massive revenue leakage.
NEO MD stops that revenue bleed with ACOG-trained OBGYN coders, strict compliance workflows, and real-time claim optimization built exclusively for Women’s Health practices.
- 95–98% First-Pass Claim Acceptance
- ACOG-Compliance Workflows
- 17–23% Revenue Increase in 90 Days
- Practice Revenue Health Audit
Is Your OBGYN Practice Losing
6-Figures Annually? (Most Are.)
If you fall behind your revenue goals, it’s time to get our professional consultation about the Revenue Cycle Management process. If any of these are happening, you’re losing $150K–$380K+ annually:
Visible Revenue Bleed
Immediate Impact
Global OB Claims Denied
Antepartum visit billing errors during the global period
Ultrasound Claims Rejected
TC/26 modifier confusion on diagnostic imaging
Colposcopy Claims Denied
Missing medical necessity documentation
Hysterectomy Claims Delayed
Prior authorization failures are holding up procedures
Office Procedure Claims Bundled
When IUD insertion should've been billed separately
Modifier 25 Violations
Triggering automatic denials on E/M with procedures
Invisible Losses
According to MGMA OBGYN benchmarking data, practices lose 18%–25% of revenue due to:
Global OB Package Errors
Billing visits included in global
Ultrasound Component Splits
Missing TC/26 modifiers
Delivery Coding Mistakes
VBAC vs C-section selection
Preventive vs Diagnostic E/M
Wrong visit code selection
Contraceptive Device Coding
IUD/Nexplanon administration errors
High-Risk OB Add-Ons
Not billing 59426 when applicable
Laparoscopy Unlisted Codes
Missing modifier 22 opportunities
Biopsy with Colposcopy
Bundling separately billable services
"You didn't train for 10+ years to fight with insurance companies. But right now, coding errors cost more than a mid-level provider's salary."
$380,000+
- Industry Problem
Why General Medical Billing Companies Fail OBGYN Practices
OBGYN billing requires specialty expertise that general billers don’t have.
Global OB bundling chaos
Can't determine what's included in maternity package
Ultrasound modifier blindspot
Don't apply TC/26 correctly on imaging
Delivery coding confusion
Can't distinguish VBAC, C-section, and vaginal delivery codes
Preventive vs diagnostic miss
Can't code annual exams correctly
Device insertion underbilling
Don't capture IUD/Nexplanon administration properly
Medical necessity gaps
Can't document colposcopy medical necessity
High-risk OB errors
Don't bill additional monitoring codes (59426)
Procedure bundling blindspot
Bundle services that should be billed separately
Result: 15%–22% denial rates, 45-60 day payment cycles, and constant staff time wasted on resubmissions.
- The NEO MD Difference
The Neo MD Cardiology Advantage
Specialty-Focused Billing Built for Cardiology’s Unique Complexity
ACOG-Trained OBGYN Coders
We ensure correct coding for:
- Global maternity (59400–59515)
- Ultrasounds (76801–76830)
- LARC procedures
- Hysterectomies, D&C, laparoscopy, endometrial ablation
- Same-day preventive + problem visits
- High-risk pregnancy management
→ 96–98% clean claims.
Complete Prior Authorization Management
We handle authorizations for:
- Ultrasounds
- DME & LARC
- Hysteroscopy
- Robotic gynecologic surgery
- High-risk maternal-fetal medicine procedures
→ 2.5-day turnaround instead of 7–10 days.
OBGYN-Specific Denial Prevention
Focused On :
- Correct documentation for ultrasounds
- E/M carve-outs during pregnancy
- Global package accuracy
- Medical necessity alignment
- Modifier compliance
→ Denials drop below 4% in 60 days
Maximum Reimbursement Coding
We capture:
- All billable components in the global maternity
- Standalone E/M during pregnancy
- All ultrasound findings were properly documented
- Problem-based services during preventive visits
- High-risk diagnosis specificity
→ 17–23% revenue increase within 90 days.
Real-Time Reporting
Complete visibility with:
- Daily claims
- Weekly denial reports
- Monthly performance reviews
- Transparency dashboards
→ You always know where your revenue is.
OBGYN Services We Master
Gynecology
- Annual well-woman exams
- Pap smear billing & pathology
- Contraceptive counseling
- Ultrasounds
- Colposcopy
- LEEP procedures
- Hysteroscopy
- Laparoscopy
- D&C
- Ablation
- Hysterectomy
- Fertility-related billing
Obstetrics
- Global maternity packages
- High-risk pregnancy documentation
- Ultrasounds (all trimesters, NT, growth scans)
- Biophysical profiles
- NSTs (non-stress tests)
- Labor & delivery coding
- Postpartum visits
Family Planning & LARC
- IUD insertion/removal
- Nexplanon
- Depo injections
- Contraceptive device billing
- Real Results
Real Results: 5-Physician Cardiology Group (Georgia)
- Before NEO MD
- Denial rate
21%
- Maternity miscoded
38%
- Missing ultrasound docs
1 in 5
- Monthly revenue loss
38K
- After 90 Days with NEO MD
- Denial rate
3.8%
- Payment cycle
22 days
- Recovered annually
$456k
- Prior auth delays
38K
“NEO MD found errors our previous billers didn’t even know existed. Our maternity billing is finally stable and predictable.”
Our OBGYN-Optimized RCM Workflow
A process engineered for OBGYN practices
01
Pre-Encounter Verification
- Payer-specific rules for stress tests, echoes, and EP studies
- Authorization tracking
- Medical necessity checks for imaging & testing
02
Charge Capture & Coding
- Correct application of 26/TC, 59, 76, and XE modifiers
- Accurate mapping for diagnostic vs. interventional procedures
- Avoiding bundling mistakes in imaging and testing
03
Claim Scrubbing (Cardiology Rules Engine)
- Automatically flags missing documentation
- Detects global period conflicts
- Ensures proper billing of separately identifiable services
04
Aggressive Denial Management
- LCD/NCD-specific appeal letters
- Same-day follow-up for denials
- Root-cause correction to prevent repeat loss
05
Real-Time Reporting Dashboards
- Imaging reimbursement trends
- EP-specific denial ratios
- Procedure-level revenue tracking
Compliance Is Critical in OBGYN
We ensure full compliance with industry standards and regulations:
- ACOG guidelines
- NCCI edits
- Global maternity rules
- Documentation requirements
- HIPAA & OIG standards
- Payer-specific policies
Free Download
OBGYN Denial Prevention Checklist
Includes:
Global maternity do’s & don’ts
Ultrasound documentation templates
Modifier 25 & 59 rules
Preventive vs problem coding map
High-risk pregnancy documentation guide
Frequently Asked Questions
10–14 days, zero interruption.
Yes — all OBGYN surgeries, ultrasounds, and LARC.
No, we work with all major OBGYN systems.
Our 90-day performance guarantee activates — we work for free until improvement occurs.
Two Ways to Get Started
Option 1
Free Revenue Analysis
We’ll show you:
- How much you're losing
- Where denials come from
- How much can be recovered
Option 2
Talk to a Specialist
15-minute consultation with an OBGYN billing expert.
We’ll discuss:
- No obligation, no pressure
- Get answers to your questions
- Understand your options
The Cost of Waiting
If your practice collects $2.1M annually and loses 17% to billing inefficiencies…
$357,000 per year — gone.
Every month you wait = $29,750 lost forever.
The question isn’t “Should I switch?”
The question is: “How much more am I willing to lose?”