OB/GYN Billing Services
Global OB package errors, antepartum coding gaps, and maternity authorization failures cost OB/GYN practices a fortune every year. We recover it all.
25+
Years in medical billing
30+
Specialties served
All 50
States supported
Dedicated
Specialty team
The OB/GYN Billing Challenge
Every specialty has coding landmines. Here are the ones costing ob/gyn practices the most.
Global OB Package
$60-100K/yr59400 / 59510 / 59610
The global obstetric package bundles antepartum, delivery, and postpartum care into one fee. When patients transfer care, change insurance, or deliver early, the global package must be unbundled — and most practices fail to bill the individual components.
Antepartum Visit Coding
$40-80K/yr59425-59426 / 99213-99215
When a patient does not receive the full global OB package, individual antepartum visits must be billed separately using the correct visit count thresholds. Miscounting or defaulting to E&M codes leaves tens of thousands uncaptured.
C-Section vs Vaginal Delivery
High-dollar59510 vs 59400
Planned vs unplanned cesarean, vaginal birth after cesarean (VBAC), and failed trial of labor each have distinct codes and reimbursement rates. Selecting the wrong delivery code is a costly error.
High-Risk OB & NST
$15-30K denials59025 / 76818-76819
Non-stress tests and biophysical profiles for high-risk pregnancies require specific frequency and medical necessity documentation. Without proper authorization, these high-volume services generate stacking denials.
Colposcopy & GYN Procedures
$20-35K/yr57454 / 57460 / 58661
Colposcopy with biopsy, LEEP, and laparoscopic gynecologic procedures each have specific coding rules for multiple sites, modifiers, and pathology coordination. Errors on these high-volume procedures compound quickly.
OB Ultrasound Coding
Miscoded 25%+76801-76816
Obstetric ultrasound codes differ by trimester, number of fetuses, and level of detail. Over 25% of practices use the wrong code for the gestational age or fail to bill the detailed anatomy scan at the higher rate.
What We Handle
Complete ob/gyn billing coverage — every code, every payer, every claim.
Obstetric
- Global OB package management
- Antepartum visit tracking
- Delivery coding (vaginal, C-section, VBAC)
- High-risk OB services
- Non-stress tests (NST)
- OB ultrasound coding
Gynecologic
- Colposcopy & LEEP
- Hysteroscopy
- Laparoscopic surgery
- Hysterectomy (all approaches)
- Endometrial biopsy
- IUD & implant placement
Office Services
- E&M with procedures (modifier-25)
- Well-woman exams
- Pap smear & HPV testing
- STI screening
- Contraceptive counseling
- Menopause management
Administrative
- Prior authorization
- Maternity authorization
- Ultrasound pre-certification
- Payer contract negotiation
- Appeals & reconsiderations
- Patient billing & statements
How It Works
Week 1
Free Analysis
We audit your ob/gyn billing, identify the biggest revenue leaks, and show you the numbers.
Week 1-2
Your Team Gets to Work
Coders and billers trained in ob/gyn connect to your system and start processing claims.
Day 30-90
Results Compound
Denial rates drop, clean claims climb, and revenue increases. You see it all in real-time dashboards.
“I highly recommend Everest A/R Management to anyone looking for a Revenue Cycle Management solution. Their team was able to dive into the mess that a previous billing company had left us in and they methodically worked through the problems and even captured what we had considered to be lost revenue. They work tirelessly through denials and appeals to make sure that we get paid for the work we’ve done. Our A/R is now accurate, and our cash flow has improved significantly. We no longer stress about our billing, and we can trust them to the point where we can focus on improving other areas of the business. Their communication is excellent, and they’ve integrated so well with our team that it feels like they are a department within our organization. We couldn’t have done it without them. Thank you to everyone on the Everest team!”
Chris Applewhite
Frequently Asked Questions
How do you track global OB package billing?
What happens when a patient changes insurance mid-pregnancy?
Do you handle Medicaid maternity billing?
Can you manage high-risk OB authorization and coding?
Do you integrate with our EHR?
How quickly can we get started?
Find out how much revenue your ob/gyn practice is missing.
Free analysis from a billing expert who knows your specialty. No obligation. No contracts. Just numbers.