OB/GYN Medical Billing Services

Billing in an OB/GYN office is a different animal. A pregnancy runs for months, gets billed under one global code, and still sends off extra claims for ultrasounds, labs, or a complication nobody planned for. On the gynecology side you’ve got annual exams, IUD placements, biopsies, and surgery, all going to Medicaid plans and commercial carriers that want the paperwork done their way. Get one small thing wrong and the claim bounces. Or worse, it gets paid short and nobody notices.

SwiftCare Billing is an OB/GYN billing company that provides OB/GYN medical billing services for practices in all 50 states. We’re a medical billing company for OBGYN practices, and we handle obstetrics and gynecology billing from the day a patient’s coverage is verified to the day the payment posts. Specialty- trained billers and coders do the work. AI-assisted checks run alongside them and flag odd codes, missing modifiers, and mismatched diagnoses before a claim leaves the building.

Specialized OB/GYN Medical Billing Services for Private Practices, Groups, and Women's Health Providers

Our OB/GYN medical billing services for private practices cover a lot of ground, and the same team supports larger groups too. If you run a small office, we offer OB/GYN billing services for small practices that don’t want a full billing department. If you run several locations, we handle OB/GYN billing services for large practices with the same care. Either way, you get OB/GYN practice billing built around how your office works, and medical billing solutions for OB/GYN practices that don’t force you to change your routine.
We work with:
We also provide medical billing services for obstetricians and gynecologists who simply want their billing handled by people who know the specialty.
Specialized OB GYN Medical Billing Services for Private Practices

Where OB/GYN Practices Lose Revenue Before a Claim Gets Paid

Most of the money is lost early, and usually for boring reasons. Medical billing for OB/GYN has plenty of places to trip, and these are the ones we see again and again.

Coverage wasn't checked

The patient’s plan had changed by the second trimester.

Global package issue

The global package was billed when the patient had transferred in late, or split when it shouldn’t have been.

Inconsistent coding

Prenatal, delivery, and postpartum visits were coded by different people with different habits.

Missing modifier

A modifier was missing, or the note didn’t back up the service.

Authorization issue

Procedures and imaging went ahead while the authorization was still pending.

Unworked denial

A denial came in and nobody called the payer.

Underpayment

A claim paid less than the contract says, and it went unnoticed because it did pay.

A/R delays

Balances sat past 90 days until collecting them got unlikely.

Nothing on that list is exotic. It just takes steady attention on every claim, every week.

Our OB/GYN Coding and Billing Services

Clean OB/GYN coding services start well before the claim exists. Our OB/GYN medical coding and billing services cover:

Eligibility and benefits checks

Before the visit.

OBGYN medical coding

For obstetric and gynecologic services.

E/M levels and modifier review

To identify potential coding issues.

ICD 10, CPT, and HCPCS code review

To compare selected codes with the documented services.

Procedure and surgical coding

For applicable office and surgical services.

Documentation review

To make sure the chart supports what's billed.

Our OBGYN billing and coding services include obstetric coding services and gynecology coding services under one team, so a delivery claim and a hysteroscopy claim get reviewed by people who know both.

AI Assisted Coding Checks

Our software compares the notes with the codes picked and flags what looks wrong, including a missing modifier, a bundling conflict, or a diagnosis that doesn’t fit the procedure.

A trained coder reviews each flag and makes the call. The AI speeds things up and catches small slips. It doesn’t replace a coder, and it doesn’t make claims error-free.

AI Assisted Coding Checks

Obstetrics Medical Billing Services From Prenatal Care Through Postpartum

Our obstetrics medical billing services exist because obstetrics is where practices leave the most money behind.
Global maternity billing rolls routine prenatal care, delivery, and postpartum care into a single code. Whether you bill the whole thing or break it apart depends on the payer, who gave which part of the care, and what happened during the pregnancy.

No two charts are quite the same. As an obstetrics billing company, this is the part we spend the most time on this part, and it’s why obstetric billing services shouldn’t be handed to a generalist. We also provide outsourced billing services for obstetrics practices that want this handled off -site.

Routine visits normally live inside the global package. High-risk pregnancies, twins, and extra monitoring often don’t. We read each patient’s course of care and bill what the record supports.

Vaginal and cesarean deliveries follow different coding paths. If the patient was seen somewhere else for prenatal care, that changes the code too. We check who did what before we pick one.
The postpartum visit is part of the package. A complication, a separate diagnosis, or certain tests and ultrasounds may not be, and can be billed separately if the documentation is there.
Here’s a quick look at the common scenarios. Payers differ, so we confirm the rules before billing.
ScenarioTypical CPT Code
Full routine care by one provider, vaginal delivery 59400
Full routine care by one provider, cesarean delivery 59510
Full routine care, vaginal delivery after a prior cesarean 59610
Vaginal delivery only 59409
Vaginal delivery plus postpartum care 59410
Antepartum care only, 4 to 6 visits or 7 or more 59425 / 59426
Postpartum care only 59430

Gynecology Medical Billing Services for Office Visits, Procedures, and Surgery

Gynecology looks easy from the outside. The denials hide in the details.

Our gynecology medical billing services include well-woman and preventive visits, including what to do when a real problem comes up during the same appointment.

We also handle:
As a gynecology billing company, we’ve learned that a preventive exam and a problem visit on the same day is one of the easiest ways to get a denial. Our gynecology billing services look for it before the claim goes out, not after it comes back. Practices that prefer to hand this off can use our outsourced billing services for gynecology practices.
Gynecology Medical Billing Services for Office Visits, Procedures, and Surgery

OB/GYN Claims Management and Denial Management Services

Good OB/GYN claims management means each claim is scrubbed, sent electronically, and and followed up with the payer until it’s paid.

Our OB/GYN insurance claims billing services cover:

When something denies, we don’t just resubmit and cross our fingers. Our OB/GYN denial management services work out why it happened and fix that. If nobody does, the same denial returns next month.

The ones we see most include:
Eligibility and coverage
Coding and modifier errors
Global maternity billing problems
Medical necessity
Authorization missing or expired
Duplicate and bundling edits
Timely filing
Payments below the contracted rate
Every month we go through the denial reasons and send what we learn back to your front desk and providers. That feedback loop helps address recurring denial issues over time.

OB/GYN Accounts Receivable and Reimbursement Services

Old claims don’t collect themselves.

Our OB/GYN accounts receivable management works your claims by payer and status, looking at the 30, 60, 90, and 120- day buckets.

Claims near timely filing limits go first, along with the big-dollar balances. Small balances and write-offs get a second look before anyone zeroes them out, and patient balances get followed up as well.

That’s what our OB/GYN accounts receivable billing services are built to do.

Our OB/GYN reimbursement services cover the payment side. We post payments, read EOBs and ERAs, and check contractual adjustments.

Each payment is compared to the payer’s fee schedule, which is how underpayments get caught. We also review refunds and credit balances so nothing stays open by accident.
OB GYN Accounts Receivable and Reimbursement Services

OB/GYN Revenue Cycle Management and Insurance Billing Services

OBGYN revenue cycle management follows the whole path:

Our OB/GYN revenue cycle management services are built for the way women’s health practices actually work, and our OB/GYN practice revenue cycle management keeps front-end and back-end teams on the same page.

That’s the difference when you look at OB/GYN revenue cycle management as a whole, not a set of separate tasks.

Our OB/GYN insurance billing covers every payer type an OB/GYN practice deals with:

Medicaid and managed Medicaid: Which cover a large share of obstetric patients.
Commercial insurance
Medicare
Marketplace and exchange plans
For procedures, imaging, and specialty treatments, we track prior authorizations and referrals, keep the paperwork on file, and help with appeals if an authorization gets denied.

OB/GYN Billing and Coding Services for Practices in All 50 States

Medicaid programs and commercial payers don’t work the same way from state to state, so we don’t treat them like they do.
We follow each payer’s rules in your state, including practices with several locations and telehealth visits across state lines.

If you searched for OB/GYN billing services near me, here’s the honest answer: location matters less than knowing your state’s payer rules. We work with practices coast to coast, and the team learns your local requirements.

You don’t have to change systems to work with us. We work inside your current EHR and practice management system, along with your clearinghouse and ERA setup, and data moves through secure channels.
OB GYN Billing and Coding Services for Practices in All 50 States

Why OB/GYN Practices Outsource Medical Billing Services

Some practices use outsourced OB/GYN medical billing services because their biller left and finding a good replacement is hard.

Others are tired of watching denials stack up.

Outsourced medical billing for OB/GYN practices also frees providers from the paperwork.

Many OB/GYN medical billing outsourcing companies exist, and OB/GYN medical billing outsourcing services vary a lot in quality, so it pays to look closely.
As an OB/GYN billing and coding outsourcing company, we compare with in-house billing like this:
Why OB GYN Practices Outsource Medical Billing Services
In-House BillingSwiftCare Billing
OB/GYN expertise Depends on who you hire Specialty trained team
Coverage Gaps during leave or turnover Consistent
Denial follow up When there's time Tracked claim by claim
Cost Salaries, benefits, software Percentage of collections
Growth Hire more people Scales with your volume
If you’re ready to hire OB/GYN medical billing company support that table is a fair starting point.
Outsourced OB/GYN billing services should reduce your workload, not add to it.

Why OB/GYN Billing Specialists Beat General Billers

A general biller knows medical billing. OB/GYN billing specialists know why a delivery claim got cut in half, what to do about it, and how to stop it from happening again. That kind of knowledge only comes from seeing the same payer behavior many times over.

Switching to SwiftCare With a Structured Transition

Changing to a new OB/GYN billing and coding company sounds like a headache. It’s usually easier than practices expect.

1. Practice Assessment

We assess your practice and review your revenue cycle and current numbers.

2. System and Payer Access

We get system access and payer information, so we can work in your EHR and with your payers.

3. A/R and Denial Review

We review your A/R and denial backlog to see what’s stuck and what can still be recovered.

4. Workflow Setup

We set up your coding and billing workflow around the way your practice actually runs.

5. Claim Submission and Follow Up

We start submitting claims and following up.

6. Ongoing Review

We keep reviewing and improving, with regular reports.

How long it takes depends on your systems and payers. After the assessment you’ll have a real plan, not a guess.

Reporting From Your OB/GYN Revenue Cycle Management Company

Each month you’ll get:
Nothing fancy. Just a clear view of where your money is and what’s holding it up.
Reporting From Your OB GYN Revenue Cycle Management Company

Affordable OB/GYN Medical Billing Services for Small and Growing Practices

We offer affordable OB/GYN medical billing services on a percentage of collections.

The exact rate depends on your practice size, specialty mix, claim volume, and the services you want. Because the fee moves with your revenue, you don’t carry the cost of a full in house billing department.

We’re an affordable OBGYN billing company for a two- provider office and a large group alike.

Pricing questions come up first, so here’s a straight answer.

You can request an OB/GYN billing services quote by talking to our team. If you’d like to compare OB/GYN billing companies, we’ll walk you through exactly what’s included so you can compare the services clearly.

When you’re ready to get OB/GYN medical billing services, the first step is a quick call.

Affordable OB GYN Medical Billing Services for Small and Growing Practices

Professional OB/GYN Billing Services With Secure HIPAA Compliant Workflows

Our professional OB/GYN billing services take patient privacy seriously because patient information in an OB/GYN practice is very personal.

PHI is protected at every step. Access is controlled. Our workflows follow HIPAA, we sign a Business Associate Agreement before any work starts, and claims and documents move through secure channels only.

It’s what you should expect from a professional OBGYN billing company, and from any provider of professional billing services for OB/GYN practices.

Professional OB GYN Billing Services With Secure HIPAA Compliant Workflows

Why Choose SwiftCare Billing

Among OB/GYN billing service providers and other OB/GYN billing companies, here’s what sets us apart.

OB/GYN specialty focus
Global maternity, modifier 25, cesarean versus vaginal delivery, and postpartum billing are part of our regular workflow.
Obstetrics and gynecology sit with one team, so nothing gets lost between the two.
Every delivery gets a proper review of what belongs in the global package and what doesn’t.
AI flags potential problems and trained coders decide what to do about them.
We investigate why a claim denied, not only the claim itself.
No claim just sits. We follow each one until it’s paid or properly closed.
We follow local Medicaid and commercial rules.
Keep your current EHR and practice management software.
Monthly reports are written in plain language.
Pricing is tied to what you collect, whether you’re a two provider office or a large multi location group.

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Frequently Asked Questions About OB/GYN Medical Billing Services

What Is OB/GYNMedical Billing?

OB/GYN medical billing is how a practice codes, submits, and collects payment for obstetric and gynecologic care.

That includes prenatal visits, delivery, postpartum care, well woman exams, procedures, and surgery, plus the denial and A/R work that follows.

Obstetrics billing revolves around the global maternity package and whatever falls outside of it.

Gynecology billing is mostly visit based, including preventive care, E/M levels, in office procedures, and surgery.

The coding rules and usual denials are quite different.

One code covers routine prenatal care, delivery, and postpartum care.

If a single provider doesn’t handle all three, the claim is usually split into separate codes. Complications and extra services can be billed on their own when supported by the documentation and applicable payer rules.

Eligibility checks, coding, claim submission, denial management, A/R follow up, payment posting, patient billing, and monthly reports.

How Much Do OB/GYN Billing Services Cost?
We charge a percentage of collections. The rate depends on your volume, payer mix, and scope of work.Contact us for a quote based on your practice.

People often search for the best OB GYN medical billing services, but “best” depends on the needs of your practice.

Look for real OB GYN experience, clear reporting, steady denial and A/R follow up, HIPAA compliance, and pricing you understand.

Ask whether the team includes certified OB GYN billing specialists, and ask how they handle global maternity claims.

Yes. We follow each state’s Medicaid and payer requirements individually.

Yes, for accuracy checks. Trained coders review the results, and people handle claim follow up.