Get Paid Faster With OBGYN Medical Billing Services for Growing Practices

Yes we append modifier 25 to the problem-oriented E/M code and make sure documentation clearly separates. The preventive exam from the problem work-up. Weak modifier 25 documentation is one of the most common triggers for automatic denials. So we review this closely on every claim.

We split the episode instead of billing the global package to either payer. The original insurer gets antepartum-only care (CPT 59425 or 59426, based on visit count). The new insurer picks up delivery and postpartum from the transition date forward. NeoMD team tracks the exact visit count and transition date in the chart so nothing gets double-billed or missed.

NeoMD team bill only the antepartum care actually provided CPT 59425 (4–6 visits) or 59426 (7+ visits) backed by a transfer-of-care note. Practices that skip this step routinely under-bill or write off revenue. They're fully entitled to collect; we catch this during onboarding audits.

We bill the first delivery as the global code (59400 or 59510). Each additional delivery separately (59409 or 59514) with modifier 51 or 59, depending on payer preference. NeoMD team also includes a letter of medical necessity with these claims. A step general billers often skip, which is what triggers automatic bundling denials.

Yes we bill screening under CPT 96127, separate from the postpartum visit, and ongoing treatment under standard behavioral health E/M or therapy codes. It's one of the most under-billed services in OB-GYN; many practices screen but never capture the code for it.

Yes we bill remote physiologic monitoring under CPT 99453, 99454, 99457, and 99458. Also covering device setup, data transmission, and monitoring time. With postpartum hypertension now flagged as a maternal safety priority. This is a fast-growing revenue stream most practices are missing.

We typically turn around hysterectomy, laparoscopy, and LEEP authorizations in 3–5 business days, versus the 10–14 day industry average. Because we submit complete clinical documentation upfront instead of letting it come back piecemeal.

Starting January 1, 2027, the AMA is retiring the global maternity package. The entirely antepartum and postpartum care move to per-encounter E/M billing, with new dedicated codes for labor management and delivery. NeoMD team is already building this transition into our clients' workflows now. So your practice isn't scrambling when it takes effect.