Specialty Focus: Obstetrics & Gynecology

OB/GYN Billing,
Engineered for Precision.

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Maternity Care (Global)

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Maternity
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Gynecology
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Surgery
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Ultrasound

Select a clinical focus area on the scanner or list below to reveal the specific CPTs, global billing rules, and documentation standards our certified coders master to secure your revenue.

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Maternity Care (Global)

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Precision management of Global Maternity Packages (59400, 59510). We flawlessly handle patient care transfers, itemizing antepartum (59425/59426) and postpartum care, and properly coding high-risk pregnancies or twin deliveries to maximize reimbursement.

Global OB Packages Ante/Postpartum Splits High-Risk Modifiers
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Routine Gynecology & E&M

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Expert differentiation between annual well-woman exams and problem-oriented visits. We strictly apply Modifier 25 when addressing a separate, acute issue during a preventative exam, ensuring both the routine screening and the E&M visit are paid.

Well-Woman Exams Modifier 25 Defense Contraceptive Mgmt
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Surgical Procedures

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Accurate coding for in-office colposcopies, LEEP, and complex hospital-based surgeries like hysterectomies and laparoscopies. We expertly navigate NCCI edits, unbundling distinct procedures with Modifier 51 or 59 to capture maximum surgical revenue.

Colposcopy & LEEP Laparoscopic Codes Surgical Bundling
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Diagnostic Ultrasounds

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Differentiating between complete, limited, and follow-up ultrasounds (transvaginal vs. pelvic). We ensure strict documentation linking for medical necessity and properly apply professional (26) versus technical (TC) components based on equipment ownership.

Transvaginal / Pelvic Complete vs Limited Modifiers 26/TC

OB/GYN Billing is Complex.
We Make It Profitable.

OBGYN practices face unique scrutiny over global maternity splits, preventative visit overlaps, and complex surgical bundling. Hover over the challenges below to see how HBS secures your revenue.

Global Maternity Splits

When a patient transfers care mid-pregnancy or changes insurance, billing the global OB package (59400) results in immediate audits. Itemizing visits incorrectly leads to massive underpayments.
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The HBS Solution

We meticulously carve out global packages. Based on visit counts, we bill individual E&M codes or specific antepartum care codes (59425, 59426) to ensure you are paid for exactly what you performed.

Well-Woman + Sick Visit

A patient presents for her annual preventative exam but requires evaluation for a new gynecological issue. Payers routinely bundle these and deny the problem-oriented E&M visit.
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The HBS Solution

We deploy distinct ICD-10 linking logic and strictly apply Modifier 25 to the acute E&M code, providing the necessary documentation support to guarantee reimbursement for both services.

Surgical Bundling Edits

Gynecological surgeries like laparoscopies, hysteroscopies, and prolapse repairs often involve multiple distinct maneuvers that payers aggressively bundle under NCCI edits.
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The HBS Solution

Our certified surgical coders cross-reference every operative note. We ethically unbundle distinct procedures using Modifier 51 (Multiple Procedures) or 59 to capture maximum legitimate surgical revenue.

The HBS OB/GYN Advantage

We don’t just process claims; we act as the financial safeguard for your clinic. From capturing preventative care incentives to meticulously tracking global maternity packages, we maximize your specialized revenue.

98% First-Pass Clean Claim Rate

Our proprietary scrubbing engine catches modifier 25 errors, global period overlaps, and incomplete ultrasound criteria before the claim leaves our system.

48-Hour Turnaround

High patient volume requires speed. We guarantee that your daily encounters, from well-woman checks to complex surgeries, are coded and billed within 48 hours.

Global OB Package Tracking

We utilize automated systems to track prenatal visits and delivery records, ensuring your high-value global maternity codes are safeguarded against arbitrary payer denials.

Average Clinic Revenue Lift (First 6 Months)

M1
M2
M3
M4
M5
+18% Lift
M6
Calculate Your Specific ROI

Stop OB/GYN Denials Today.

Let our specialized OB/GYN billing team audit your current processes. Discover exactly where your revenue is leaking on bundled surgeries and missed maternity care.