OB/GYN Medical Billing Services
OB/GYN billing runs on timing. Global maternity packages, delivery codes, postpartum visits, and ultrasound components all depend on dates lining up correctly — and on the payer agreeing with your definition of the package.
Reading time about 4 minutes · Reviewed by the Guardian billing team
Maternity billing is a timeline, not a claim
A global obstetric package begins with the first prenatal visit and ends with postpartum care. When a patient changes plans mid-pregnancy, or when a delivery happens outside the expected window, the claim structure has to change with it.
We track each pregnancy as an episode: start date, plan changes, delivery date, and postpartum completion. That single view prevents most of the denials that look mysterious on a claim-level report.
- Global versus itemized maternity billing
- Delivery code selection with outcome documentation
- Ultrasound and diagnostic component billing
- Postpartum visit completion and coding
Gynecologic procedures and payer policies
Office procedures, hysteroscopy, and sterilization services each carry their own coverage rules, and some require authorization or specific consent documentation.
We review those policies per payer and keep the requirements in front of the scheduling team, since a missing authorization discovered after the procedure is difficult to recover.
Measures worth reviewing
Numbers only help if they are defined the same way each month. These are the four we would look at first for a ob/gyn & women's health practice.
- Maternity episode completion and global billing accuracy
- Denials linked to plan changes during pregnancy
- Procedure authorization compliance
- Days in A/R for delivery claims versus office visits
Frequently asked questions
The episode is split by coverage dates and each portion is billed to the responsible plan, with documentation supporting the transition. Tracking it as one episode keeps that from being missed.
Build a plan for your practice
Request an introductory review to identify what information is needed, what the current workflow does well, and what may be worth investigating first.