Overview

Why Do OB-GYN Billing Require Expertise?

Recognized as one of the most complicated and in-depth sectors of medical billing, Obstetrics and Gynecology (OB-GYN) billing is so complicated decisively because of its combination of surgical, preventive, diagnostic, and maternity services.

OB-GYN billing differs in many ways compared to other specialties in that instead of dealing with localized procedures and diagnoses, global maternity packages, surgical procedures, preventive checks, and patient care are major priorities that need to be coded accurately, with appropriate modifiers utilized and that meet the specific payer rules.

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    OB-GYN Billing by NexCure LLC

    NexCure LLC is a medical billing company, and at NexCure LLC, we provide the best OB-GYN medical billing services to ensure that your practice can maximize reimbursements, minimize claim denials, and adhere to compliance.

    Our AAPC-certified coders and billing professionals are experts in the delicate nature of both OB/GYN and billing practices to make sure every charge is coded correctly and the filing is initiated cleanly.

    Where the Medical Billing Obstacles Manifest in OB-GYN

    The process of billing OB-GYN goes beyond filing claims; it is all about regulations imposed by various payers, following bundled services, and picking up all the billable procedures. Amongst the key problems, there are the following ones:

    Global Maternity Billing

    Billing all the prenatal checkups, the delivery, and postnatal care using one method of payment and billing all the extras separately, without improper billing.

    Multiple Procedure Coding

    Surgeries that involve hysterectomies, C-sections, and laparoscopy require multiple procedure coding that can easily result in bundling errors.

    Preventive vs Problem-Oriented Visits

    Making correct distinctions between annual well-woman visits and other problem-oriented visits to prevent claim rejection.

    Authorization & Eligibility Checks

    Many OB-GYN procedures, including infertility treatments or hysteroscopies, must be pre-authorized.

    Comprehensive Coverage Changes

    Medicare, Medicaid, and commercial insurers frequently revise their coverage policies, especially for screenings, diagnostic imaging, and contraceptive services.

    OB-GYN Billing Services We Offer

    Our end-to-end revenue cycle management services are built around the unique needs of OB-GYN practices, managing every aspect of the revenue cycle starting with patient scheduling and ending with final payment posting.

    • Strict patient health information security.
    • Staying updated on OB-GYN billing regulations and payer rules.
    • Specific expert coding of CPT, ICD-10, and HCPCS for obstetrics and gynecology.
    • Correct use of modifiers such as -59/51, -25, and maternity-specific modifiers to prevent denials.
    • Global maternity packages (59400, 59510, 59610, etc.).
    • Gynecological surgeries (laparoscopies, hysterectomies, oophorectomies).
    • Colposcopy and biopsy repeats.
    • Insurance checks prior to verification.
    • Pre-scheduling that includes checking the eligibility of patients for OB-GYN procedures.
    • Prior authorization for high-cost services such as infertility programs or major surgeries.
    • Preventing loss of revenue due to non-covered or unauthorized procedures.
    • Charting all prenatal visits, delivery, and post-delivery care per global billing guidelines.
    • Separate billing for services not included in the global package (e.g., unrelated problem visits, diagnostic imaging).
    • Proper documentation for every phase of maternity care.
    • Correct posting of insurance and payer payments.
    • Compliance with payer-specific requirements for OB-GYN services.
    • Faster processing and improved payment turnaround via clearinghouse optimization.
    • Identifying underpayments or incorrect adjustments via Electronic Remittance Advice (ERA).
    • Reporting payment discrepancies early.
    • Appeals and dispute resolution.
    • Proactively monitoring claim rejections to identify patterns.
    • Writing appeal letters with supporting medical records.
    • Offering flexible payment plans for maternity and surgical services.
    • Sending simple, clear statements to patients.
    • Billing for myomectomies, hysterectomies, laparoscopy, endometrial ablation.
    • Maintaining a dedicated phone line for patient billing inquiries.

    Common OB-GYN Procedures We Bill

    We bill a wide range of obstetrics and gynecology services, including:

    Obstetric Care

    International maternity packages, high-risk pregnancy, C-sections, VBACs.

    Screenings & Preventive Care

    Pap smears, HPV, mammography referrals.

    Infertility Services

    Ovulation induction, insemination procedures, IVF.

    Family Planning & Contraceptive Services

    IUD insertion/removal, implantable contraceptives, sterilization.

    Menstrual Disorder Treatments

    Endometriosis treatment, D&C procedures.

    Oncology Care Billing

    Cervical, ovarian, uterine cancer services.

    Why NexCure LLC

    NexCure LLC is the Better Choice for OB-GYN Billing

    Your OB-GYN claims are handled by professionals who know your field’s intricacies.

    Our clean claim process reduces rejections and speeds up payments.

    We handle billing so your staff can focus on patient care.

    At NexCure LLC, we solve these issues by:

    • Pre-Claim Review – Checking claims before submission for accuracy.
    • Daily Tracking – Monitoring claims daily to correct errors quickly.
    • Denial Analysis – Identifying patterns to prevent repeated rejections.
    • Provider Education – Training your staff to document properly for successful billing.

    Many OB-GYN practices risk losing revenue because they often fail to submit reimbursement claims, do not separately bill for out-of-package services, and have improper documentation for surgical or procedural services.

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      Client Testimonials

      What Healthcare Providers Say About Us

      12+

      Years of Expertise in Medical Billing & Revenue Cycle Management

      85+

      Providers Across Multiple Specialties Trust NexCure LLC Consultancy

      97%

      Clean Claims Rate Achieved on First Submission of Project Delivery

      15K+

      Claims Accurately Processed Every Month

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      (929) 587-3833

      Email address:

      Info@nexcurellc.com

      1500 N Grant ST #5001, DENVER, CO, 80203

      United States

      WhatsApp:

      (929) 587-3833

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