OB/GYN Billing Services

Expert OB/GYN Billing Solutions Designed to Maximize Revenue, Reduce Denials, and Ensure Total Compliance

Why Choose Our OB/GYN Billing Solutions?

  • OB/GYN Experience: Extensive experience with obstetrics and gynecology billing lets our team handle the complex coding, payer nuances, and bundled maternity care unique to women’s health.

  • Leveraging Advanced Billing Technology: we seamlessly connect with EMRs, scheduling, and reporting tools for accurate claims and efficient data handling in high-volume practices.

  • Regulatory Compliance: Remain fully compliant with CMS, Medicaid, private payer, and ACOG guidelines. We safeguard critical reimbursements and support your bottom line.

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Consulmed’s Expertise

  • OB/GYN Coding Expertise: Proficient in coding for all levels of neonatal and NICU care—including intensive care, specialty consults, procedures, and ongoing care management. Expert in handling complex, high-acuity neonatal billing scenarios.
  • Complex Billing: Our experts address complex scenarios, such as global pregnancy billing, high-risk pregnancies, infertility treatments, and management of chronic women’s health conditions, always ensuring proper reimbursement.
  • Integration & Accuracy: Integration with your clinic’s or hospital’s platforms streamlines the workflow, reduces manual entry, and minimizes costly errors in claims processing.
  • Modifier Management: Proper modifier and code application—such as those required for multiple gestation, split-care, ultrasounds, and surgical assistance—ensures maximum payments and fewer payer challenges.
  • Clean Claim Submission: Ensure every claim is built with the correct CPT/HCPCS codes, documentation, and payer-specific rules.
  • Denial Analysis & Appeals: Rapid response to denials, focused on root-cause analysis, resubmission, and appeals to recapture lost revenue.
  • Payment Posting & Reconciliation: Detailed payment posting, with customized reports tracking collections, adjustments, and outstanding balances.
  • EMR and Hospital Data Transfers: Automated interfaces for imaging studies, reports, and patient demographics, minimizing manual entry and errors.
  • Customizable Workflows: Adapt quickly to your hospital or group’s processes for scheduling, reporting, and patient prep.
  • Productivity Dashboards: View volume by modality, provider productivity, and reimbursement trends in real time.
  • Revenue Cylcle Analytics: Track days in A/R, denials rates, and charge lag to proactively spot and solve issues

Benefits of Partnering with Us

    • Increased Revenue: Every billable OB/GYN service, procedure, and bundled episode is fully captured, so your practice realizes its total revenue potential.
    • Reduced Denials: High first-pass acceptance of claims and prompt error corrections reflect our specialty-specific knowledge and constant attention to detail.
    • Efficient Workflow: Workflows adapt to your clinical and operational needs, promoting billing efficiency and freeing your staff for patient care.
    • Regulatory Security: Ongoing compliance monitoring helps defend your practice against audits and avoids regulatory pitfalls related to women’s health billing.

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Get Started

Looking to simplify OB/GYN billing? Contact us now to schedule a consultation and see how our tailored support and expertise can make your practice thrive.