Master the Complexity of
OB/GYN Billing
From navigating global maternity packages to complex surgical procedures and high-risk carve-outs, we ensure your women's health practice captures every dollar it deserves without compliance risks.
Global Maternity Mastery
We expertly manage CPTs 59400-59622, ensuring accurate billing when patients transfer care mid-pregnancy or require high-risk E&M carve-outs.
Why OB/GYN Billing Demands Specialists
General billers routinely lose money for OB/GYN practices by failing to bill for high-risk conditions outside the global package, misapplying Modifier 25 during Well-Woman exams, or incorrectly coding complex gynecological surgeries. We bring clinical exactness to your revenue cycle.
Preventive vs. Sick Billing
When a routine Annual Well-Woman Exam (preventive) turns into a problem-oriented visit (e.g., discovering an infection), we expertly apply Modifier 25 to ensure both services are paid.
Global Maternity Exceptions
We identify and bill separately for conditions unrelated to normal pregnancy (like gestational diabetes or preeclampsia) that require additional E&M visits outside the global package.
Gynecological Surgery Coding
From colposcopies and LEEPs to complex laparoscopic hysterectomies, we ensure surgical operative reports are coded accurately to bypass NCCI edits and maximize RVUs.
Securing Revenue from
Conception to Post-Partum
We proactively manage the intricate timelines of obstetrics and the surgical precision required for gynecology, protecting your practice from routine denials.
OB Panel & Verification
At the confirmation of pregnancy, we conduct deep benefit verifications to determine exact maternity coverage, deductibles, and authorization requirements for ultrasounds.
Global Package Tracking
We track the patient’s antepartum visits meticulously. If a patient transfers care or changes insurance mid-pregnancy, we flawlessly transition to itemized billing (e.g., 59425, 59426).
Delivery & Post-Partum
We ensure delivery codes accurately reflect the method (Vaginal, C-Section, VBAC) and that all post-partum care is documented properly to close out the global package.
Ultrasound & Lab Audits
Payers frequently deny routine ultrasounds or specific lab panels. We audit the clinical necessity and apply the correct ICD-10 codes to prevent these high-frequency denials.
Stop Losing Revenue to
Maternity Carve-Out Denials
Partner with certified OB/GYN coders who understand the nuances of global packages, high-risk modifiers, and surgical edits. Contact Valeria Healthcare Solutions today.