Gynecology Billing Services

Premium Medical Billing Services: The Right Fit for Every Practice

Obstetrics and Gynecology is the branch of medicine that specializes in the diagnosis and treatment of female reproductive system/organ diseases. It also specializes in women’s care provided during pregnancy and childbirth. It also covers treatments for other women’s health issues like hormone problems and disorders, contraception (birth control), infertility, and menopause. An OB/GYN practice also includes regular health checkups for women,  internal surgeries, and pre and postpartum healthcare facilities.

According to a joint survey the most significant challenge that OB/GYNs face is the burden of paperwork still in process in many US States. Yet 7 out of 10 Obstetricians and Gynecologists suffer from money leakage in their revenue cycle because of malpractice claims. You cannot afford to lose your income because of a lack of thorough documentation or inaccurate coding, whatever the reason.

The same survey also found that 37% of OB/GYNs in the U.S. are 55 years or older, while only 19% are on the 40s list. We cannot depict the actual percentage as this survey was typical and cannot be reliable. But suppose we utilize it for a rough estimate and do some calculations. In that case, we know that the administrative needs are snowballing while the number of doctors for this specialty is shrinking.

This fact adds to a considerable struggle for providers to manage their practice and its billing while making healthcare facilities available for patients. PMBS offers end-to-end OB/GYN medical billing solutions to help providers of this specialty boost revenue, streamline workflows, reduce paperwork, and complete claim protection to keep your practice growing.

Infographic showing the OBGYN revenue cycle, highlighting front-end eligibility, AI-driven workflows, precise coding, claims follow-up, cost reduction, and improved financial stability.

We Understand Where You Lack: Complications of OB/GYN Medical Billing

PMBS has had good experience providing medical coding services in the U.S. for many years. We truly understand that each specialty is unique in practice and demands different billing methodologies to be applied. OB/GYN coding and billing are challenging for most billers or billing services providers because of global claims with widely varying coverage terms. Billing for this specialty is also tricky to do because it involves numerous healthcare facilities provided to patients. And providers cannot resolve all the hassles of medical billing alone. They require more or complete billing assistance to grow their practice and to pay more attention to their duty. Here are a few joint billing and coding errors that occur while doing the billing of this specialty:

  • Lack of knowing that pregnancy coverage is an amendment in an existing insurance plan.
  • Neglecting to bill for individual services provided within the global period.
  • Pregnancy coverage is split between inpatient and outpatient services.
  • Improper documentation of the provided facilities and policies.
  • OB/GYN medical billing services require a clear understanding of the criteria that depict the medical necessity of coding for each level of air and ground ambulance services.
  • Understanding that all laparoscopic OB/GYN surgical procedures involve diagnostic laparoscopy.

    Advanced OB/GYN Medical Billing Solutions for Growing Practices

    Premium Medical Billing Solutions delivers specialized OB/GYN medical billing services to healthcare providers across all 50 U.S. states. Our certified billers and coders bring deep, hands-on experience working with obstetricians and gynecologists, helping practices increase revenue, reduce denials, and support sustainable growth. Our team is fully certified in ICD-10, CPT, and HCPCS coding and stays current with the latest AMA and CMS guidelines to ensure accuracy and compliance.

    We provide expert billing support across key OB/GYN subspecialties, including:

    Maternal-Fetal Medicine (Perinatology)

    We handle complex billing for high-risk pregnancies and advanced prenatal care. Services include accurate coding and billing for prenatal consultations, ultrasounds, fetal monitoring, genetic testing, management of pregnancy complications such as gestational diabetes and preeclampsia, and procedures like amniocentesis and fetal interventions.

    Reproductive Endocrinology and Infertility (REI)

    Our REI billing services support fertility-focused practices with precise coding for consultations, hormone testing, imaging, IVF procedures, embryo transfers, and other assisted reproductive treatments. We ensure correct documentation and payer-specific compliance to maximize reimbursements for fertility services.

    Gynecologic Urogynecology

    We provide specialized billing for urogynecology services, including pelvic floor disorders, urodynamic testing, pelvic rehabilitation, and surgical treatments. Our approach includes billing audits, accurate coding, insurance eligibility verification, claim submission, provider enrollment, and detailed financial reporting tailored to this specialty.

    By combining specialty expertise, compliant coding practices, and data-driven billing workflows, Premium Medical Billing Solutions helps OB/GYN providers streamline operations, improve cash flow, and focus more on delivering quality patient care.

    Infographic comparing OBGYN billing challenges, like clinical complexity and revenue risk, with outsourced solutions offering insurance verification, denial management, tech-driven efficiency, and scalable practice growth.

    Ultimate Benefits by PMBS for OB/GYNs to Streamline Their Billing Operations

    We provide accurate, compliant OB/GYN medical billing services that speed up reimbursements and reduce denials. From patient data entry and prior authorizations to precise coding, billing, and account reconciliation, we manage your entire revenue cycle so you can focus on patient care while improving cash flow.

    • We are the lowest-cost Medical Billing Company

      We can achieve substantial cost savings, generally up to 50-60%, by streamlining your billing process and optimizing your revenue cycle. All of our medical billing services are cost-effective and efficient.

    • Streamline Billing Processes

      With diligent follow-ups, accounts receivable management, insurance verification, and efficient patient demographics management, we streamline the billing process, making it smoother and more enhanced.

    • Keen Focus on Denial Prevention

      We can streamline your medical billing process by focusing on denial management and claim submissions to ensure quick reimbursements. This will boost the efficiency of your revenue cycle and cash flow.

    • Expertise with Major Insurance Companies

      Skilled in processing claims with the most popular payor companies in USA, like United Health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, and Medicare, we adeptly manage a varied insurance landscape.

    • Proficiency in Most Medical Billing Software

      Our team is proficient in software Kareo, Office Ally, ECW (E-clinical works), Therapy notes, Allscripts, Advanced MD, Chiro 8000, Care Cloud, Collaborated MD, and coding tools like EncoderPro, Flashcode, and CodeLink, ensuring accurate billing practices

    • Compliance and Risk Management

      Maintain compliance with healthcare regulations and minimize legal risks.

    • Enhanced Financial Outcomes

      With our expertise, clients typically see a 30% improvement in revenue and a reduction in denials by at least 10%, enhancing their practice's financial health.

    Frequently Asked Questions

    How can OB/GYN medical billing services increase my revenue?

    They reduce claim denials, improve coding accuracy, and speed up reimbursements through clean claims and proactive follow-ups.

    Do you handle global maternity and high-risk OB billing?

    Yes. Services include global OB packages, high-risk pregnancies, prenatal care, delivery, and postpartum billing.

    Can outsourcing OB/GYN billing reduce staff workload?

    Yes. Outsourcing removes billing and follow-up tasks so your staff can focus on patient care.

    How soon can practices see results after outsourcing OB/GYN billing?

    Most practices see improved cash flow and fewer denials within 30 to 60 days.

    How is AI used in OB/GYN medical billing?

    AI automates eligibility checks, claim scrubbing, AR follow-ups, and analytics to reduce errors and accelerate payments.