Medical billing for obstetrics and gynecology—commonly abbreviated as OB/GYN—can get so complex because this specialized field maintains a role of central importance in women’s healthcare, delivering diverse services ranging from prenatal care to reproductive health.

OB/GYN billing is so complicated because of the wide selection of services offered, including:

• Prenatal care
• Delivery services
• Postpartum care
• Gynecological services
• Surgical procedures

As more and more women seek primary care from their OB/GYN, it’s important that your OB/GYN billing service understands traditional obstetric and gynecological codes and has mastered the full universe of OB/GYN billing and coding.

With over 20 years of expertise in the field, Medisund understands the unique challenges that accompany OB/GYN billing. We know that OB/GYN medical claims are often denied because of lack of pre-authorization, coding errors, and incorrect patient information. Switched insurance carriers can be an issue. If your patient changes insurance carriers mid-pregnancy, it can result in challenges with split billing to avoid duplicates. 

There can also be an issue with global maternity care. When providing pregnancy and childbirth care, OB/GYNs must often bill for global maternity care packages, which can cover services ranging from prenatal care to delivery and postpartum care. You can’t accurately track and bill for these comprehensive packages unless (like Medusind) you possess a deep understanding of the bundled services and associated codes.