OB/GYN Billing
That Captures Every
Dollar You Earn
Women's Health Revenue Cycle — Done Right
OB/GYN billing is among the most complex in all of medicine. Global maternity packages, gynecologic surgery modifiers, preventive vs diagnostic office visit billing, and constantly shifting payer policies create massive revenue gaps in most women's health practices. ParaMed eliminates every one of them.
OB/GYN Practices Lose More Revenue Than Any Other Specialty
Women's health billing is uniquely layered — maternity global packages, surgical GYN modifier complexity, dual-purpose preventive/diagnostic visits, and ACOG coding guidelines that most billers misinterpret. Every one of these is a consistent revenue drain that ParaMed systematically eliminates.
Global Maternity Package Miscoding
The global maternity package (CPT 59400, 59510, 59610, 59618) is the single most revenue-critical billing event in OB — and the most frequently miscoded. When any antepartum visit is billed separately from the global package, payers apply coordination of benefits rules that result in systematic underpayment. Practices using non-specialty billers routinely receive 40–55% of their entitled global maternity reimbursement because the package components are incorrectly itemized, incompletely documented, or split-billed against the wrong payer. ParaMed manages the full global period — from antepartum through postpartum — ensuring maximum reimbursement on every delivery.
Preventive vs Diagnostic Visit Billing Errors
OB/GYN practices perform preventive (well-woman) visits and problem-focused office visits frequently on the same day — and payers have strict rules about when both can be billed and how. The failure to append modifier 25 to a separately identifiable E/M service during a preventive visit results in bundling of separately payable services into the preventive encounter. The reverse error — billing a preventive as a diagnostic — triggers audit flags. Most OB/GYN practices lose $1,200–$2,800 monthly from incorrect E/M billing on preventive encounter days, a problem that stems from documentation pattern issues ParaMed corrects in the first 30 days of engagement.
Gynecologic Surgery Modifier Failures
Gynecologic surgical procedures — hysterectomy, myomectomy, laparoscopic procedures, colposcopy, LEEP, and hysteroscopy — require precise modifier application (modifier 51, 59, XS, 22, 78, 79) to capture the full surgical value. Most OB/GYN practices fail to bill for assistant-surgeon fees, anesthesia services by non-anesthesiologist providers, and bilateral procedure components. A single missed modifier 22 on a complex hysterectomy can cost $800–$1,600 per case. A practice performing 25 major GYN surgeries monthly can lose $20,000–$40,000 annually from surgical billing errors alone.
Fertility & Infertility Treatment Denials
Fertility treatment billing sits at the intersection of the most complex insurance coverage rules in medicine. IUI procedures, ovulation induction monitoring, follicle ultrasound series, and IVF-related services all require payer-specific pre-authorization, specific medical necessity documentation, and correct CPT sequencing. Commercial payers cover fertility services under very narrow criteria, and even small documentation gaps result in complete claim denials — with no appeal pathway once the filing window closes. OB/GYN practices with active fertility programs face denial rates of 45–60% when using general billing services.
OB/GYN physician
The Industry Average Is Unacceptable
According to ACOG revenue cycle data, the average OB/GYN physician using a non-specialty billing service forfeits $180,000–$340,000 per year in uncollected, underbilled, and denied revenue. Global maternity miscoding alone accounts for over 60% of this figure. This is not a billing problem — it is a specialty expertise problem. ParaMed solves it permanently.
Every OB/GYN Procedure — Billed With Precision
Whether your practice focuses on obstetrics, gynecologic surgery, or reproductive medicine, ParaMed has specialty-trained billers who know every CPT code, add-on, and modifier your procedures require.
Full OB/GYN Revenue Cycle — Nothing Left Behind
From global maternity management to GYN surgical billing, fertility coding, and compliance auditing — ParaMed handles every component of your OB/GYN revenue cycle with women's health specialty expertise.
Global Maternity Billing
End-to-end management of the global maternity period. We track every antepartum visit, flag when the global package threshold is met, manage payer-specific global billing rules, and ensure every delivery — vaginal or cesarean — is billed for maximum reimbursement. We reconcile concurrent care, referring provider splits, and hospital/professional fee separation for every case.
Learn MoreGYN Surgery Coding
Precision coding for all gynecologic surgical procedures — hysterectomy, myomectomy, laparoscopic excisions, LEEP, ablations, and robotic GYN procedures. We apply all applicable modifiers (22, 51, 59, 78, 79), capture assistant-surgeon fees, and manage surgical prior authorization to prevent day-of-surgery denial surprises.
Learn MoreDenial Management & Appeals
Every denied OB/GYN claim receives a dedicated appeal strategy from our women's health billing specialists. We address global maternity bundling denials, maternity medical necessity disputes, and GYN surgical coverage challenges with payer-specific clinical documentation. Our OB/GYN denial overturn rate exceeds 74%.
Learn MoreAR Recovery & Aged Claims
We audit your full OB/GYN accounts receivable and systematically recover aged claims through targeted follow-up. Our team identifies every collectible dollar in your 90–180+ day AR bucket and pursues each one with payer-specific appeal strategies. OB/GYN practices typically recover 65–80% of aged AR in the first 120 days.
Learn MorePrior Authorization Management
We handle all prior authorizations for GYN surgeries, fertility treatments, advanced OB procedures, and high-risk obstetric care. Our team files, tracks, and escalates every auth — including peer-to-peer review coordination — so procedures are never delayed and surgeries are never denied at the time of service for authorization failure.
Learn MoreCompliance & ACOG Auditing
We conduct quarterly compliance audits aligned with ACOG coding guidelines to protect your practice from payer recoupment. Our audits identify over-billing patterns, documentation gaps, and E/M coding inconsistencies before they trigger payer scrutiny — giving you a continuously clean billing profile across all payers.
Learn MoreWe Know Every OB/GYN Billing Code
200+ OB/GYN CPT codes, add-ons, and modifier combinations — our team is current with every 2024–2025 payer policy and ACOG coding update, so nothing is ever missed or miscoded.
OB/GYN Procedure CPT Reference
9 core procedures — denial risk levels and reimbursement benchmarks for 2024–2025
| CPT Code | Procedure | Common Payers | Denial Risk | Avg. Reimbursement |
|---|---|---|---|---|
| 59400 | Routine OB Care — Vaginal Delivery (Global) | Medicare, BCBS, Aetna | Medium Risk | $2,200 – $3,800 |
| 59510 | Routine OB Care — Cesarean (Global) | Medicare, UHC, Cigna | High Risk | $2,800 – $4,600 |
| 58150 | Total Abdominal Hysterectomy (TAH) | Medicare, Humana, Aetna | High Risk | $1,400 – $2,800 |
| 58661 | Laparoscopic Removal of Adnexa | Medicare, BCBS, UHC | Medium Risk | $840 – $1,400 |
| 57461 | LEEP / Colposcopy with Biopsy | All Major Payers | Low Risk | $280 – $520 |
| 99395 | Preventive Well-Woman (25–39 yrs) | All Major Payers | Low Risk | $140 – $240 |
| 76801 | OB Ultrasound — First Trimester | Medicare, Aetna, Cigna | Medium Risk | $180 – $310 |
| 58563 | Hysteroscopic Endometrial Ablation | Medicare, UHC, Humana | High Risk | $740 – $1,200 |
| 58970 | Follicle Puncture (IVF/IUI) | Cigna, BCBS, Aetna | High Risk | $380 – $680 |
* Reimbursement ranges based on 2024–2025 Medicare fee schedules and commercial payer averages. Rates vary by region, payer, and modifier application. ParaMed optimizes every claim for maximum allowable reimbursement.
The Most Complex — and Most Valuable — OB Billing Event
The global maternity package is the cornerstone of obstetric billing, yet it is the most frequently mismanaged. Here is exactly what the global package includes and how ParaMed ensures every component is captured and billed correctly.
Our OB billing specialists track every antepartum visit against the global package threshold in real time. We identify every separately billable service within the global period and capture them correctly — ensuring you receive 100% of what every global maternity patient owes your practice.
Real Results From Real OB/GYN Practices
From Audit to Revenue in 5 Steps
Switching billing partners should feel effortless. Our onboarding is structured to keep your OB/GYN practice billing continuously from day one — zero disruption, zero downtime.
Built for Women's Health Practices
OB/GYN billing demands expertise that general billing services simply do not have. ParaMed's women's health billing division trains exclusively on OB/GYN coding — from global maternity to fertility treatment billing.
What's Included in Your Free OB/GYN Audit
for OB/GYN practices in Year 1
Request Your Free OB/GYN Billing Audit
2 minutes to complete. Findings delivered in 24 hours. No commitment — ever.
Audit Request Received!
A ParaMed OB/GYN billing specialist will reach out within 24 hours to schedule your free audit.
Why Trust ParaMed
Increase Year 1
Stop letting global maternity miscoding, GYN surgery modifier failures, and fertility billing denials quietly drain your revenue. ParaMed's OB/GYN billing specialists are ready to audit your practice, recover your denied claims, and build a women's health billing program that performs as hard as you do.
