Expert OBGYN Billing Services That Protect Your Practice Revenue
OB/GYN billing is some of the most complex in all of healthcare. Global obstetric packages, surgical procedure coding, and ever-changing payer rules create constant pressure. Theiatrics handles every piece of it so your team can focus on the patients who need you.
OBGYN Services We Bill For
- ✓ Global obstetric care packages (vaginal and cesarean)
- ✓ Antepartum and postpartum visits (split billing)
- ✓ High-risk pregnancy consultations and management
- ✓ Annual well–woman exams and preventive screenings
- ✓ Colposcopy, LEEP, and cervical procedures
- ✓ Laparoscopic and hysteroscopic surgeries
- ✓ Hysterectomy and myomectomy billing
- ✓ Fertility evaluations and treatments
- ✓ Ultrasound and diagnostic imaging claims
- ✓ IUD insertion and contraception management
- ✓ Menopause management and hormone therapy visits
- ✓ Pelvic floor disorder treatments
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What Makes OBGYN Billing
Services Different?
OBGYN billing is not like billing for most other specialties. An internal medicine practice bills mostly office visits and labs. An OB/GYN practice bills global obstetric packages that span months, surgical procedures that require modifier-level precision, and preventive screenings that carry their own payer-specific rules. One mistake at any point in that chain can result in a denial, a takebacks audit, or a compliance issue.
Global obstetric billing alone requires tracking each patient through antepartum visits, determining whether they qualify for the full global package, and knowing when to unbundle services for things like high-risk consultations, additional ultrasounds, or complications that fall outside the standard package. That requires real OB/GYN coding expertise, not a generalist billing team.
Theiatrics has built a team that understands the full scope of women's health services. From routine annual exams and Pap smears to minimally invasive gynecological surgeries, fertility treatments, and high-risk deliveries, our specialists know the codes, the modifiers, and the payer policies that determine whether your claims get paid the first time or sent back.
Our Complete OBGYN Billing Services
Global OB Package Billing
We manage the complete global obstetric billing cycle, tracking antepartum visits, documenting delivery type, and ensuring your global OB codes are submitted correctly for each payer's specific bundling rules.
Gynecological Procedure Coding
Our certified coders apply the right CPT and ICD-10 codes for every gynecological procedure, from routine colposcopies to complex laparoscopic surgeries, with accurate modifier usage every time.
Insurance Eligibility Verification
Pregnancy brings frequent insurance changes. We verify eligibility and benefits before each visit, catching coverage issues before they turn into denied claims months down the road.
Charge Capture & Entry
We review provider documentation and enter charges accurately with the correct diagnosis codes, procedure codes, place of service, and modifiers to minimize claim rejections before submission.
Denial Management
When a claim gets denied, we analyze the reason, correct the root cause, and resubmit within 24 to 48 hours. We also identify denial patterns to prevent the same errors from recurring.
AR Follow-Up & Collections
Aging AR hurts cash flow. Our team works unpaid and underpaid claims systematically, following up with payers, patients, and secondary insurers to recover every dollar your practice has earned.
Compliance & Audit Support
We stay current with OB/GYN-specific coding guidelines, payer policy updates, and CMS rules. If your practice ever faces a payer audit, we provide documentation support to help you respond.
Revenue Cycle Reporting
You will receive regular reports on claim submission rates, denial trends, collection ratios, and revenue performance so you always have a clear picture of your practice's financial health.
Credentialing & Re-Credentialing
Our team also manages OB/GYN provider credentialing and re-credentialing with insurance payers, ensuring your physicians stay in-network and your billing rights remain uninterrupted.
Common OBGYN CPT Codes We Work With
Our coders work with the full range of OB/GYN procedure codes daily. Here is a snapshot of the codes that appear most frequently in our OBGYN billing work.
Global vaginal delivery with antepartum and postpartum care
Global cesarean delivery with antepartum and postpartum care
VBAC global vaginal delivery with antepartum and postpartum
VBAC global cesarean delivery, full maternity package
Antepartum care only, 4 to 6 visits
Antepartum care only, 7 or more visits
Colposcopy with biopsy and endocervical curettage
Colposcopy with LEEP excision of transformation zone
Laparoscopy with removal of adnexal structures
Total abdominal hysterectomy with or without tubes/ovaries
Hysteroscopy with biopsy of endometrium
Insertion of intrauterine device (IUD)
Initial preventive exam, age 18 to 39
Periodic preventive exam, established patient age 18 to 39
Office visit, established patient, moderate complexity
Obtaining Pap smear screening for cervical cancer
Cervical or vaginal cancer screening pelvic and breast exam
OB ultrasound, less than 14 weeks, single gestation
OB ultrasound, 14 weeks or more, single gestation
Detailed OB ultrasound, single gestation, with fetal anatomy survey
Transvaginal ultrasound obstetrical
Transvaginal ultrasound, non-obstetrical
Why OB/GYN Practices Choose Theiatrics for Billing
OB/GYN Specialty Expertise
Our billing team is trained specifically in obstetrics and gynecology coding. We do not apply generic billing rules to a specialty that requires specialist knowledge to get right.
Fast Denial Turnaround
We address denied claims within 24 to 48 hours of receiving the remittance. The faster a corrected claim gets back to the payer, the higher the likelihood of payment before timely filing limits kick in.
Underpayment Recovery
We compare every payment against your contracted fee schedule. When a payer pays less than they owe, we pursue the balance through the correct appeal channel before it becomes uncollectable.
Transparent Reporting
You will always know what is happening with your revenue cycle. Our regular reports cover collection rates, denial trends, aging AR, and month-over-month revenue performance.
Dedicated Account Management
You will have a dedicated point of contact who knows your practice, your providers, and your payer mix. You will not be passed between departments or left waiting on a general support queue.
The Cost of Getting OBGYN Billing Wrong
OB/GYN practices that manage billing in-house with staff who are not specialty-trained often leave significant revenue on the table without realizing it. Incorrect global OB coding, unbilled complications, missed surgical modifiers, and unworked denials quietly drain revenue every month.
One study found that the average medical practice loses between 5% and 11% of potential revenue to billing errors and unworked AR. For an OB/GYN practice collecting $1 million annually, that represents up to $110,000 in avoidable losses each year.
Theiatrics exists to close that gap. Our OBGYN billing services are designed to capture every service provided, submit every claim correctly, and recover every underpayment, so nothing falls through the cracks.
Ready to Improve Your OBGYN Billing Results?
Let Theiatrics handle the billing complexity so you can spend more time on patient care. Schedule a free consultation and we will review your current revenue cycle at no cost.
Get Your Free ConsultationEverything You Should Know About OBGYN Billing Services
These are the questions OB/GYN practice managers and physicians ask us most often when exploring outsourced billing support.
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