Top Obstetrics and Gynecology (OB/GYN) Billing Services
Credentialing and Payer Enrollment guidance for new OB/GYN practitioners
Accurate CPT/ICD-10 coding for OB/GYN surgeries to prevent claim denials
Complete OB/GYN billing, eligibility checks to postpartum AR follow-ups
Rapid pre-authorizations for complex OB/GYN procedures and surgeries
100% compliance with Medicare, NCCI, and state Medicaid billing rules
What Key Challenges Make OB/GYN Medical Billing Services Essential?
Global Maternity Package Complexity: OB/GYN billing must correctly apply global maternity packages, which bundle prenatal, delivery, and postpartum care using a single CPT code. Misapplication can cause claim denials and revenue loss.
CPT Code Updates for Tumor Excision: CPT codes 49203 – 49205 are replaced by codes 49186 – 49190 that require providers to report the total size of all tumors or cysts removed. This change demands more precise documentation and coding expertise.
Insurance Verification and Prior Authorization: The differences in insurance between Medicaid and private payers make OB/GYN billing complex. Other than that, procedures like hysterectomies and LEEPs require prior authorizations supported by proper clinical documentation.
Solve OB/GYN Billing Challenges and Get Paid with Quantum Health Services
At Quantum Health Services, experts deliver OB/GYN medical billing services, so your practice gets paid in a timely manner. Here’s how we help your OB/GYN practice succeed on financial grounds.
Global Maternity Billing Expertise
We bundle prenatal care, delivery, and postpartum services using global OB codes like 59400, 59510 to maximize reimbursement and reduce underpayments.
Handling Multiple Modifiers
Our coders apply modifiers (‑25, ‑59, ‑76, ‑22) on OB/GYN procedures like ultrasounds, complex C‑sections, and office visits to prevent denials.
Proactive AR Follow-Up
Quantum reduces your days in AR by following up diligently with payers and resolving delays before they impact your bottom line.
Patient Eligibility Verification
We verify coverage in real time and secure authorizations before OB/GYN services are delivered to minimize denials.
All-in-one OB/GYN Medical Billing Services
Obstetrics and Gynecology practices face increasing pressure to manage billing efficiently. We offer the following OB/GYN billing services to tackle these challenges:
OB/GYN Credentialing
Appointment Scheduling
Patient Eligibility Verification
OB/GYN Surgeries Pre-Authorization
OB/GYN Medical Coding (ICD-10, CPT, HCPCS)
E/M Code Audits and Modifier Accuracy Checks
Charge Entry & Electronic Claims Submission
OB/GYN Clearinghouse Transmission
Billing Appeal Creation
Denial Management
A/R Recovery and Payment Posting
Our Success in Numbers
Obstetrics and Gynecology (OB/GYN) Billing Services with Nationwide Reach and Local Precision
Quantum Health Services delivers expert OB/GYN billing services to all the major states. Our team understands the unique documentation and reimbursement challenges OB/GYN providers face all across the country.
Why Choose Quantum Health Services for Obstetrics and Gynecology (OB/GYN) Billing Services?
Choose our comprehensive OB/GYN medical billing services and experience the full spectrum of support for your practice needs. With these specialized services, Quantum Health Services becomes your trusted partner for end-to-end OB/GYN billing management.
Supports 40+ OB/GYN EHRs
Integrate with OB/GYN EHRs, including Athenahealth, AdvancedMD, EPIC, NextGen, and CareCloud.
Compliance with OB/GYN Billing Laws
Ensure adherence to CMS, Medicaid, and state-specific OB/GYN billing rules to reduce external audit risks.
Multi-Specialty OB/GYN Billing
Expertise in billing for Maternal-Fetal Medicine, Gynecologic Oncology, and Advanced Laparoscopic Procedures.
OB/GYN KPI Dashboards
Daily, weekly, and monthly OB/GYN billing reports to analyze your practice’s collection rates, denial patterns, and A/R days.
Experienced with Major OB/GYN Insurers
Proficient in submitting OB/GYN claims with major insurers like Aetna, Cigna, Blue Cross Group, Medicare, and Medicaid.
Compliance with HIPAA Regulations
Quantum Health Services strictly follows HIPAA rules to protect your patients’ health data throughout the billing cycle.
Our Expertise in CPT and ICD-10 Coding for OB/GYN Medical Billing
With our OB/GYN coding expertise, we ensure precise coding for prenatal visits, deliveries, gynecologic surgeries, and women’s health screenings. Our OB/GYN billing and coding expertise includes, but is not limited to:
59400
Prenatal, vaginal delivery & postpartum care
59510
C-Section with prenatal & postpartum care
57522
Conization of the cervix (LEEP)
58150
Total abdominal hysterectomy
76805
Obstetric ultrasounds
58300
IUD insertion
O24.410
Diabetes in pregnancy, first trimester
Z34.80
D&C procedure
O82
Office visits
Expert OB/GYN Credentialing Services for Smooth Provider Enrollment
Credentialing is a critical first step for OB/GYN practitioners to begin billing insurance and receiving reimbursements. However, this process typically takes 60 to 90 days and requires over 20 hours of administrative work per provider.
Quantum Health Services provides this essential service complimentary as part of our RCM package, while other companies charge between $200 to $800 per provider. We simplify credentialing for OB/GYN providers by managing the process from start to finish. To help you avoid revenue losses, our OB/GYN medical billing experts ensure accurate CAQH profile setup and continuous tracking with payers.
Procedure-Specific Obstetrics and Gynecology (OB/GYN) Medical Billing Services
OB/GYN clinics deal with patients coming for different procedures, having complex CPT and ICD codes. Quantum Health Services covers all essential OB/GYN procedures to help reduce claim denials and maximize revenue, including:
Vaginal Deliveries
Cesarean Deliveries
D&C after miscarriage
Hysterectomy
Myomectomy
LEEP cervical excision
Hysteroscopy
Colposcopy
Endometrial biopsy
Obstetric ultrasound
Tubal ligation
Oophorectomy
Assisting Healthcare Organizations to Flourish
Satisfied Providers are our Testaments
My husband and I have a small practice but we were looking for a medical billing company to consult us. We originally started with a local company with some satisfaction. However, our biggest problem was that they wanted us to change our existing EMR to software that they worked with. Quantum Health Services worked with our existing software so that we didn't have to make expensive changes to our infrastructure. That saved us a lot of time and headache. I would definitely say that was one of the main reasons for why we switched and why we continue to work with Quantum Health Services. As a small practice, they helped us without draining our resources.
I was just amazed at the quality of service Quantum Health Services was able to provide us. We were exploring two billing companies – one of them was local to our practice and the other was Quantum Health Services. Our Florida-based practice ended up meeting with both firms and we decided to move forward with Quantum Health Services. Honestly I'm unsure if we would've ever found such a reliable partner if it wasn't for them. Thanks to the entire team for helping us through the selection and onboarding process!
As an administrator of a multi specialty clinic, I was looking for a medical billing service near me that provided timely and consistent communication. I found in prior engagements with our prior 2 billing companies neither provided the level of communication or transparency our principals expected. When I was introduced to Quantum Health Services This was a breath of fresh air for me. I could compare solutions without pressure.
Frequently Asked Questions (FAQs)
What is the global OB package?
A global OB package is a bundled payment that covers all prenatal care, delivery, and postpartum services for a pregnancy under one comprehensive fee.
Are newborn baby charges included in the delivery bill?
No, baby’s charges, including pediatrician visits and NICU care, are usually billed separately and may have their deductible.
Can outsourcing OB/GYN medical billing services save my practice money?
Yes, outsourcing OB/GYN medical billing can save your practice money. Studies indicate that outsourcing medical billing can yield cost savings of up to 40% compared to in-house operations.
Are your billers certified and trained in OB/GYN coding?
Yes, our team of 1,100 billers and coders is CPC certified and specially trained in OB/GYN coding.
What types of services are commonly billed under OB/GYN billing?
Commonly billed OB/GYN services include the annual checkup, prenatal care, ultrasounds, laboratory work, and surgical procedures that include hysterectomies and cesarean sections.
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Quantum Health Services is an independent medical billing and revenue cycle management company serving healthcare providers. We are not affiliated with Quantum Health healthcare navigation or insurance services. Our platform connects practices with trusted billing specialists and streamlined support solutions to help optimize revenue cycle performance and simplify medical billing operations.
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