OB-GYN Billing Services Built for OB-GYN
Specialty medical billing for OB-GYN practices, covering global OB packages, antepartum care unbundling for transfers, ultrasound -26/-TC, and gyn surgery with same-day E/M. We bill what generalists undercode.
Why OB-GYN billing trips up generic billers
OB billing is uniquely complicated by the global OB package (CPT 59400 / 59510 / 59610 / 59618), which covers antepartum, delivery, and postpartum as one fee. Patients transfer, deliver out of network, or change plans mid-pregnancy, and antepartum care must be unbundled correctly. Add ultrasound TC/26 splits and gyn surgery with same-day E/M and modifier -25, and one untrained biller silently bleeds 5-10% of revenue.
- •Global OB billed when antepartum should have been unbundled (transfer cases)
- •Ultrasound -26/-TC split missed when imaging is performed in-office vs. hospital
- •Modifier -25 missed on same-day E/M with gyn procedure
- •Postpartum-only care (59430) billed as global, leaving money on the table
- •Medicaid OB billing rules differ by state and MCO; generalists miss the variations
What our medical billing service includes
A full revenue cycle, owned end-to-end by a Carevonix billing team trained on your specialty, your EHR, and your payer mix.
Clean claim submission
We code, scrub, and submit claims to commercial and government payers within 24 hours of the encounter. Average clean-claim rate: 94%.
Daily denial management
Every denial is worked within 48 hours, corrected, appealed, or written off with documentation. No more stale AR over 90 days.
Insurance eligibility verification
We verify benefits, copays, deductibles, and prior-auth requirements before the patient walks in, so claims aren't denied on day one.
Patient billing and statements
We send patient statements, handle balance questions, and offer payment plans, keeping collection rates high without straining the front desk.
Payer underpayment audits
We compare every EOB against your contracted rates and appeal underpayments. Most practices recover 3-7% they didn't know they were losing.
Monthly reporting that means something
Clean claim rate, days in AR, net collections rate, denial rate by payer, delivered monthly with a real human to walk you through what's working.
What practices see after switching
Average results across Carevonix billing clients within the first 90 days.
94%
Clean claim rate
67%
Reduction in AR over 90 days
12 days
Average days in AR
3-7%
Revenue recovered from underpayments
Why practices choose Carevonix for medical billing
There are plenty of medical billing companies. Most of them treat your practice like a row in a spreadsheet. We don't.
- Dedicated US-based billing team with the same people every month, not a rotating call center
- We work in your EHR and PM system. No data migrations, no parallel logins.
- Transparent monthly reporting with a named account lead, not a ticket queue
- HIPAA-aware workflows and a signed BAA before any PHI changes hands
- Flat monthly pricing with no per-claim percentages that punish growth
Built for OB-GYN practices
OB-GYN billing rewards specialty discipline. Our team has billed solo OB practices, multi-site women's health groups, and hospital-employed OB-GYN service lines. We know what goes wrong on global OB cases and how to bill them clean.
OB-GYN codes we work daily
59400 / 59510 / 59610 / 59618
Global OB packages (vaginal, c-section, VBAC)
59425 / 59426
Antepartum care only (4-6 visits / 7+ visits)
59430
Postpartum care only
76801 / 76805 / 76811 / 76817
OB ultrasounds
57454 / 58100 / 58150 / 58558
Common gyn procedures
Modifiers -22, -25, -59, -26, -TC
Increased complexity, same-day E/M, distinct, professional, technical
Where OB-GYN revenue leaks
- •Transfer cases billed as global when they should be unbundled antepartum
- •Ultrasound -26/-TC missed on in-office vs hospital imaging
- •Same-day E/M with procedure denied because -25 wasn't applied
- •Medicaid MCO-specific OB workflows missed, triggering avoidable denials
- •Routine postpartum visits not separately billed when global doesn't apply
OB-GYN payers we handle
- Medicaid managed care (state-specific MCOs)
- BlueCross BlueShield (all regional plans)
- UnitedHealthcare and Optum
- Aetna, Cigna, and Humana commercial
- Tricare for military-family OB care
Frequently asked questions
Real questions practice owners ask before they switch.
Ready to see what Carevonix can do for your practice?
Book a 20-minute demo. We'll walk through your current workflows, your numbers, and exactly what would change.