OB/GYN Medical Billing Services
OB/GYN billing has to account for whether a patient's care falls under a bundled global maternity package or split-care billing across providers — a distinction that determines how (and when) every claim in that pregnancy gets submitted. Flint RCM tracks that from the first antepartum visit through delivery and postpartum care.
Specialty-specific pitfalls we watch for.
- Determining whether a pregnancy falls under a bundled global maternity code or requires split-care billing across providers
- Tracking antepartum visit counts accurately when care transfers between practices mid-pregnancy
- Coordinating delivery billing timing with the hospital's separate facility claim
- Prior authorization for in-office procedures such as hysteroscopy or LEEP
- Distinguishing routine gynecologic visits from problem-oriented visits billed on the same day
- Global maternity vs. split-care billing determined and tracked from the first antepartum visit
- Antepartum visit counts monitored per payer's global package requirements
- Delivery claim timing coordinated with hospital billing to prevent submission conflicts
- Authorization verified in advance for in-office procedures requiring payer approval
What makes OB/GYN coding different.
- Global maternity billing (antepartum, delivery, and postpartum bundled into one code) applied correctly, or itemized billing used when care is split across practices
- Modifier -25 applied for a problem visit occurring during routine pregnancy care
What to confirm before the visit.
- Delivery facility and procedure authorization confirmed ahead of the delivery date
- Coverage re-verified at multiple points across a pregnancy, since plan-year changes can occur mid-pregnancy
Global maternity billing means revenue isn't recognized until delivery, creating an AR timing pattern unlike most other specialties — and split-care coordination, when a patient transfers practices mid-pregnancy, is a common denial source that needs specific handling.
Our workflow for ob/gyn billing.
Pregnancy Care Path Documented
The care plan is tracked from the first prenatal visit so global vs. itemized billing can be determined correctly.
Global vs. Itemized Billing Determined
Billing approach is set based on whether your practice provides the full course of care or shares it with another practice.
Delivery Authorization Confirmed
Facility and procedure authorization is confirmed ahead of the delivery date, not discovered afterward.
Postpartum Claim Finalization
The global claim is finalized only once the full antepartum-through-postpartum course of care is complete.
What shapes ob/gyn reimbursement.
Medicaid billing rules for global maternity care sometimes differ meaningfully from commercial payer bundling rules, especially in split-care scenarios where a patient changes practices mid-pregnancy.
OB/GYN billing, answered.
How do you handle billing when a patient transfers care mid-pregnancy?
We track antepartum visit counts and determine whether the global maternity package still applies or whether split-care billing is required, so the transferring and receiving practices both bill correctly for the care each provided.
Do you coordinate with the hospital's delivery billing?
Yes — delivery billing timing is coordinated with the separate hospital facility claim to avoid submission conflicts or duplicate billing issues.
Explore more specialty billing pages.
Get a free ob/gyn billing audit.
We'll review your current claims, denials, and AR to show exactly where ob/gyn revenue is being missed.