OBGYN Billing Services

Optimize Your Practice Revenue & Billing Efficiency

Getting Started

Our OB-GYN billing services streamline the entire billing process and enhance revenue cycle management for women’s health providers. We expertly manage everything from routine exams to advanced procedures, ensuring accurate coding, timely claim submissions, and efficient denial resolution. By staying up-to-date with evolving payer guidelines and regulatory requirements, we help reduce claim rejections and accelerate reimbursements. This comprehensive approach allows your practice to focus on delivering exceptional patient care while maintaining strong financial health.

OBGYN Billing Services

Maximizing claim efficiency and compliance for superior revenue management

We focus on streamlining the revenue cycle and accelerating claim processing. By actively following up on claims pending over 15–18 days and optimizing the claim cycle to 21–25 days, we ensure quicker reimbursements.

Key features include precise ICD-10 and CPT coding, expert handling of paper and electronic claims, proactive follow-ups on pending or underpaid claims, and pre-authorization support to reduce procedure delays.


Our proficiency in OB-GYN billing codes helps maximize your practice’s revenue by ensuring accurate and strategic claim submissions.


Key considerations include:

  • High revenue potential with HCPCS code J2675 (Injection, progesterone).
  • Limited billing frequency for HCPCS codes G0101 and Q0091, reimbursable once annually unless medically necessary.
  • Complex procedure billing for CPT code 59514 (Cesarean delivery only) requiring an assistant surgeon for reimbursement.


Managing today’s complex medical cases, competitive landscape, and strict billing regulations demands precision and efficiency in OB-GYN billing. Our services empower physicians to concentrate on exceptional patient care while maintaining a consistent and reliable revenue stream.


Why Choose Us:

  • Minimized claim denials for smoother reimbursements
  • Full-spectrum billing support for solo practitioners, multi-specialty groups, clinics, and hospitals

Customized billing strategies designed to meet the unique needs of every OB-GYN practice

Our OB-GYN billing team offers extensive experience across a range of subspecialties, delivering accurate coding and efficient claims handling to support your practice’s diverse needs.


Subspecialties Included:

  • Maternal-Fetal Medicine
  • Reproductive Endocrinology and Infertility
  • Gynecological Urogynecology and Pelvic Reconstructive Surgery
  • Advanced Laparoscopic Surgery
  • Family Planning
  • Pediatric and Adolescent Gynecology
  • Menopausal and Geriatric Gynecology


Our full-service OB-GYN billing solutions streamline your revenue cycle, enhance collection efficiency, and reduce claim denials. By ensuring precise charge capture, detailed procedure coding, and adherence to industry regulations, we help your practice achieve:


  • Expanded patient access and referral networks
  • Support for advancing medical research and innovation


Mastering Every Code for OBGYN Specialty

Our expertise spans the full code range, ensuring precision and compliance in every claim we process

Routine OBGYN Procedures

99201-99499

Office/outpatient services

99460-99463

Newborn care codes

Prenatal and Postnatal Care

59410

Routine prenatal care

59400

Routine obstetric care, vaginal delivery

Diagnostic and Therapeutic

58100

Total abdominal hysterectomy

58120

Vaginal hysterectomy

Up to

27%

More cash collected

Up to

23%

Outstanding A/R collection

Up to

29%

Patient collections

Up to

$80 M

Charges billed last year

Medical Billing At A Glance

Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.

Claims Processing Metrics

96%

First Pass Resolution Rate

Percentage of claims paid on the first submission.

23-40 Days

Average Days to Payment

Average number of days it takes for claims to be paid.

First-Pass Claim Acceptance Rate (FAR):

We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.

Days in Accounts Receivable (AR):

Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.

Clean Claim Rate:

With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.

Financial Metrics

90%

Net Collection Rate

Percentage of total charges that are collected.

30 Days

Average Denial Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

94%

Average Claims Submitted Per Month

Volume of claims submitted.

97%

Volume of claims submitted.

Claims processed per biller per day.

Aged A/R Clearance Rate:

Measures the percentage of aged receivables (especially over 90days or above)

Reflects the effectiveness of backlog reduction efforts.

A faster resolution time means improved collections and cleaner aging reports

Unbilled Claims Backlog:

Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.

Denial Resolution Rate:

Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.

Reach Us

Address

3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.

© 2023 Gedeihen Healthcare.