Patients who change insurance mid-pregnancy, transfer care or deliver elsewhere complicate global billing.
Why specialized ob/gyn billing matters
Obstetrics medical billing requires tracking the whole pregnancy: when the global package applies, when to split it, and what's billed outside it.
Our ob/gyn medical billing services
- Global maternity billing
- Split billing for transfers and insurance changes
- Prenatal visits and ultrasounds outside the global
- Gynecologic procedures and preventive exams
- OB/GYN denial management
Every engagement includes our full medical billing services workflow, adapted to ob/gyn rules.
OB/GYN coding and claims management
Examples of the codes and rules our team works with every day:
59400 / 59510
Global obstetric care: vaginal delivery and cesarean delivery.
59425 / 59426
Antepartum care only, 4–6 and 7+ visits, when the global doesn't apply.
59430
Postpartum care only.
G0101 / Q0091
Medicare pelvic/breast exam and Pap specimen collection.
Codes are examples, not coding advice. We apply current CPT®, ICD-10-CM, HCPCS and payer policy to each claim.
Common ob/gyn billing challenges and claim denials
Insurance changes
Coverage changes mid-pregnancy require split billing.
Services outside the global
Ultrasounds, labs and complications may be billed separately.
Timing
Global claims are billed after delivery, requiring months of tracking.
Preventive vs problem visits
Well-woman and problem visits need separation.
How our RCM services help ob/gyn practices
Our OB/GYN revenue cycle management tracks each pregnancy from first visit to postpartum care.
Insurance eligibility and benefits verification
We verify maternity coverage and re-verify during pregnancy. Learn about verification.
Payment posting and accounts receivable
We post global payments and verify allowed amounts. Unpaid claims are followed up through our A/R management process.
Denial management and appeals
We handle global, split-billing and preventive frequency denials. See our denial management services.
Credentialing and enrollment
We credential OB/GYNs, CNMs and NPs. Insurance credentialing is $150 per payer.
Why ob/gyn providers choose Cyber Sense
- Transparent pricing: 4% of monthly insurance collections, no hidden fees or minimums
- We work inside your existing EHR / PM system
- Billers who understand ob/gyn payer rules
- Monthly reports on collections, denials and A/R
- No patient-level data collected through marketing forms; access to your systems is role-based
Our ob/gyn medical billing workflow
- 1Practice review and onboarding
- 2Eligibility and authorization checks
- 3Coding review and charge entry
- 4Claim scrubbing and submission
- 5Payment posting and reconciliation
- 6Denial work and A/R follow-up
- 7Monthly reporting and review call
OB/GYN medical billing FAQs
What is global maternity billing?
One code covering routine antepartum, delivery and postpartum care, billed after delivery.
What if a patient changes insurance?
We split billing using antepartum, delivery-only and postpartum codes.
Do you bill ultrasounds separately?
Yes, they are generally outside the global package.
Do you bill gynecology procedures?
Yes, including office procedures and surgery.
What does it cost?
4% of monthly insurance collections.
OB/GYN billing articles
- Global Maternity Billing Components: Building a Defensible 2026 Service MapMap maternity billing components, document separately reported services, and prepare OB/GYN claims for payer-specific rules and the 2027 transition.
- Transfer of Obstetric Care: How to Prepare Defensible Split ClaimsOrganize obstetric transfer records, assign services to the correct practice, and prevent duplicate maternity claims without assuming universal split rules.
- Insurance Changes During Pregnancy: Rebuilding the Maternity Billing TimelineHandle pregnancy insurance changes with coverage-date checks, payer-specific claim allocation, authorization review, and clear patient balance explanations.
- Postpartum Services Documentation: Connecting Clinical Follow-Up to Accurate BillingDocument postpartum encounters, distinguish routine follow-up from additional services, and support OB/GYN claims without confusing care guidance with coverage.
- Delivery Claim Reconciliation: Aligning the Provider, Facility, and Place of ServiceReconcile delivery records, rendering clinicians, facility details, and place of service before submission to reduce unsupported OB/GYN claim corrections.
- Gynecologic Preventive Versus Problem Visits: Documenting the DifferenceDistinguish gynecologic preventive care from separately supported problem visits, document same-day work, and explain payer-specific patient responsibility.
- OB Ultrasound Authorization and Report Matching: A Preclaim WorkflowMatch obstetric ultrasound orders, authorizations, performed studies, and signed reports before billing, with attention to payer and component differences.
- Gynecologic Procedure Bundling: Reviewing Same-Day Services Before BillingReview gynecologic procedure combinations, operative documentation, and modifier support without treating every edit as permission to unbundle services.
- OB/GYN Denial Appeals: Building an Evidence Packet That Answers the Actual IssueBuild focused OB/GYN appeal packets using claim history, clinical records, policy evidence, and deadlines rather than generic letters or unsupported modifiers.
- OB/GYN Billing Outsourcing: Designing a Reliable Maternity Ledger HandoffPrepare an OB/GYN billing handoff with maternity ledgers, claim ownership, coverage history, and exception controls that preserve continuity during outsourcing.
- Colposcopy, Cervical Biopsy, and LEEP Billing: A Gynecology Claim ReviewHow OB/GYN practices code colposcopy with biopsy or endocervical curettage, LEEP procedures, global periods and diagnosis linkage after abnormal screening.
- Separate E/M Services During Pregnancy: What Falls Outside Global Maternity CareHow OB/GYN practices identify problem visits outside the global obstetric package, document complications and unrelated conditions, and apply modifiers correctly.
- Credentialing OB/GYN Providers Across Multiple Practice LocationsHow OB/GYN groups credential providers who work across offices and hospitals, link locations with payers, and avoid denials when deliveries and visits span sites.