OB/GYN Billing Services AI-Powered Revenue Cycle Management
OB/GYN professionals have some of the most difficult medical billing problems in healthcare, something Sirius Solutions Global is aware of. Precise coding and prompt reimbursements are essential from prenatal visits to delivery and postpartum care, and from basic gynecological examinations to complex surgical procedures. Our AI-driven OB/GYN medical billing solutions aim to maximize your income, lower claim rejections, and boost cash flow while your practice stays completely compliant with HIPAA and payer standards.
Why Choose Our Obstetrics and Gynaecology Billing Solutions?
1. Revenue cycle management (RCM), end-to-end.
From patient enrollment and insurance verification to claim submission, payment postings, and denial management, we handle the whole billing cycle.
2. AI-Powered Code Accuracy
Our AI-assisted coding solutions ensure correct allocation of HCPCS, CPT, and ICD10 codes for:
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Obstetric services (prenatal, delivery, postpartum)
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Gynecological surgeries: Pap smears, biopsies, and hysterectomies
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Management of contraception and family planning
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Ultrasound imaging and fetal surveillance
3. Global OB Management Systems
We make sure you get complete payment for all bundled visits, tests, and delivery care by assisting practices to bill properly for global maternity care.
4. Surgical & Procedure Billing
With accurate modifier usage, we manage the invoicing for laparoscopic surgeries, hysteroscopies, endometrial ablations, and other gynecological procedures to avoid rejection by payers.
5. Denial, avoidance, and recovery
Using real-time claim scrubbing and predictive analytics, we stop most denials before filing and reclaim lost income from formerly unpaid claims.
Benefits of Partnering with Sirius Solutions Global for OB/GYN Billing
✅ 98% Clean Claim Rate – Accelerate payments and reduce rework.
✅ 30% Faster Payment Turnaround – Via simplified claim submission procedures
✅ Better Cash Flow – Regular, predictable income
✅ Compliance & Audit Readiness – Keep yourself safe from legal fines.
✅ Dedicated OB/GYN Billing Experts – Tailored assistance for your practice
Our Comprehensive OB/GYN Billing Services
OB/GYN billing services are basically outsourced experts who manage all the challenging aspects of obstetrics and gynecology clinics, including coding, claim filing, and payment processing, are OB/GYN billing services. Among their goals are to maintain HIPAA and other regulations, reduce rejected claims and errors, and improve the financial status of the practice. From patient registration and insurance verification to following unpaid bills and rejection management, they provide specific knowledge and technology to simplify the entire process.
What These Services Handle
Insurance Checks and Approvals:
They get insurance approvals from insurers in advance for therapies, which helps prevent surprises with what's covered by double-checking a patient's coverage.
Coding for Procedures:
Because being spot-on is essential for correct billing, trained coders choose the correct codes for OB/GYN operations: ICD10CM, CPT, and HCPCS.
Submitting Claims:
They send out error-free claims online to insurance companies.
Handling Payments and Chasing Up:
They process incoming payments, track down overdue ones, and appeal rejections to get more money collected.
Full Revenue Management:
This covers everything from creating a claim to getting paid, plus keeping tabs on how the finances are doing with reports.
Staying Compliant and Reporting:
They make sure everything follows HIPAA and other health laws, and they offer data insights to spot trends or issues in the money side.
Why Bother with OB/GYN Billing Services?
Better Income and Faster Cash:
Fewer slip-ups and denials mean more reimbursements coming in quicker.
Lower Expenses:
Skipping an in-house team and the tech setup saves a bunch of money.
Fewer Mistakes:
Pros in coding and billing mean less chance of claims getting bounced.
More Time for Patients:
The practice can shift focus from paperwork to actually caring for people.
Safer and Compliant:
These outfits follow HIPAA to protect patient info and guard against leaks.
Smoother Workflow:
Tech automation and better processes make billing run like clockwork.
Global maternity & obstetric billing essentials
End-to-end maternity billing is among the most important, highest-risk zones for obstetric/gynecologists' practices. Antepartum care, the delivery, and ongoing postpartum care in a single professional service—that is, the contrast between a "global" claim and a delivery-only claim—are all found in the documentation and visit counts. Get that wrong and you’ll see denials, recoupments, and frustrated clinicians. Make it right and you’ll stop losing revenue to avoidable coding and bundle errors.
Key CPTs & documentation traps (publish as a short reference table)
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59400 — Routine obstetric care including antepartum care, vaginal delivery, and postpartum care. (Common mistake: billing 59400 when antepartum visits were provided by another practice.)
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59510 — Routine obstetric care including antepartum care, cesarean delivery, and postpartum care. (Common mistake: miscoding combined deliveries or not documenting cesarean details.)
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59610 / 59618 — Routine obstetric care for delivery after previous cesarean — requires correct prior surgery history documentation.
Quick publish tip: show each CPT with one short “common mistake we fix” sentence — that immediate problem/solution copy converts and answers search intent.
Why OB/GYN Billing Requires Specialized Expertise
OB/GYN Billing means more than just submitting invoices; it requires direction through:
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Global OB codes for pregnancy events
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Modifications for several services performed in the same visit and for processes
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Rules for surgical packs
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Billing for bundled maternity care
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Medicaid and commercial insurance payers have complicated rules.
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Preventive versus diagnostic gynecological treatments
These difficulties cause late payments, underpayments, and compliance concerns if not properly skilled. That's why clinics all over are increasingly choosing OB/GYN billing outsourcing to experts like ourselves.
Common OB/GYN denials we fix — and the exact fix
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Global billed incorrectly when care was split → fix: transfer-of-care & antepartum count audit before billing.
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Missing prior auth for procedures or device implants → fix: preauthorization workflow + clinical packet.
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Modifier 25/59 misuse during delivery procedures → fix: coder/physician tie-back to documentation and templated note language.
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Incorrect ultrasound coding (screening vs diagnostic) → fix: technician/provider reporting checklist + claim mapping.
Advanced Technology for OB/GYN Practices
Human knowledge meets cutting-edge medical billing technology:
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AIPowered claim scrubbing eliminates errors prior to submission.
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Through CloudBased RCM Platform, get access to billing data anywhere, anytime.
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Integrating EHR/EMR supports Athenahealth, eClinicalWorks, NextGen, Epic, and other businesses.
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With automatic eligibility verification, guarantees coverage before to services are provided.
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Predictive analytics projects revenue patterns and changes in patient load.
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Online payment options that satisfy HIPAA requirements via secure patient portals
What we do differently
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Pre-bill global validation: we verify the practice’s antepartum visit counts, transfer of care dates, and who provided delivery care before the claim is submitted. This prevents incorrect global claims.
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Ultrasound & testing mapping: we map ultrasound CPTs to diagnostic vs screening contexts so services that are separately payable actually get paid.
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LARC same-day logic & supply billing: we submit the IUD/implant procedure code and the supply HCPCS only when documentation supports separate billing; we also add the correct modifiers when an E/M is performed in the same visit.
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Prior-auth packs for high-value procedures: templated clinical packets (indications, labs, imaging, notes) for any prior-authable drugs or procedures.
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Postpartum & telehealth reconciliation: we reconcile telehealth E/Ms and postpartum encounters against the global period rules so you don’t double bill or miss allowed payments.
Your OB/GYN Practice Deserves Financial Peace of Mind
We at Sirius Solutions Global believe OB/GYN doctors should concentrate on patient care rather than seeking reimbursements. Our artificial intelligence–enhanced billing systems maximize your revenue potential, guarantee payments are made on schedule, and help to ensure your claims are processed correctly.
Call For a free billing assessment, contact us now to find out how we could turn your OB/GYN revenue cycle into a slick, profitable process.