ClainetRCM handles billing, coding, and credentialing for OB/GYN solo providers, clinics, and hospitals across the USA. Global obstetric packages split correctly, modifiers applied on every claim, denials appealed rather than written off.
Global obstetric packages, shared-care splits, bilateral modifiers, and E/M carved out of the global period. These are the four places OB/GYN revenue leaks, and they are what our certified coders are trained on.
Our certified coders specialize in obstetrics and gynecology, from antepartum care to complex laparoscopic procedures, getting codes right the first time.
We proactively work denied and underpaid claims, analyze payer contracts, and identify missed revenue opportunities specific to OB/GYN practices.
End-to-end encryption, BAA agreements, and strict access controls keep your patient data and practice finances protected and fully compliant.
Every OB/GYN practice gets a dedicated manager who understands your specialty mix, payer contracts, and goals with direct access anytime.
Live dashboards tracking claim status, denial rates, A/R aging, and payer mix so you can make data-driven decisions every day.
Whether you are a solo OB/GYN, a multi-physician clinic, or a large women's health hospital, our solutions grow with you seamlessly.
From charge capture to payment posting, we handle every step of your OB/GYN billing cycle so you can focus on exceptional women's healthcare.
Full-service billing with rapid claim submission, denial management, and collections optimization.
AAPC-certified OB/GYN coders ensuring maximum reimbursement and minimal audit risk.
Streamlined payer enrollment with follow-up until each provider is contracted, so billing does not stall.
Proactive prior auth management to prevent delays and claim denials before they occur.
Dedicated virtual assistants to handle admin tasks, freeing clinical staff for patient care.
Complete end-to-end revenue cycle management to optimize your entire financial operation.
A transparent, streamlined onboarding and billing workflow for OB/GYN practices of all sizes.
We analyze billing performance, denial rates, and revenue gaps to establish a baseline.
Tailored OB/GYN billing strategy aligned with your payer mix, subspecialties, and goals.
EHR integration and payer review completed in 7 to 14 business days, zero disruption.
Every claim scrubbed against payer and CCI edits, then filed within 24 to 48 hours.
Ongoing denial management and monthly reporting to continuously grow your revenue.
Our certified coders are experts across the full range of obstetrics and gynecology procedure and diagnosis codes, ensuring accurate billing every time.
| CPT Code | Procedure Description | Category | Key Billing Note |
|---|---|---|---|
| 59400 | Routine Obstetric Care - Vaginal Delivery | Obstetrics | Global package: antepartum, delivery, postpartum |
| 59510 | Routine Obstetric Care - Cesarean Delivery | Obstetrics | Includes all antepartum and postpartum visits |
| 59025 | Fetal Non-Stress Test (NST) | Prenatal | Bill separately from antepartum visits |
| 76801 | OB Ultrasound - First Trimester | Prenatal | Requires ICD-10 Z34.0x pregnancy code |
| 58150 | Total Abdominal Hysterectomy | Gynecology | 90-day global period; track follow-up visits |
| 58661 | Laparoscopic Removal of Adnexal Structures | Gynecology | Use modifier -50 for bilateral procedures |
| 58300 | IUD Insertion | Gynecology | Bill device separately with J7297/J7298 |
| 99213 | OB/GYN Office Visit - Established Patient | E&M | Document MDM or time to support level billed |
| 58720 | Salpingo-Oophorectomy | Gynecology | 90-day global; use -RT/-LT if unilateral |
| 59409 | Vaginal Delivery Only (no antepartum) | Obstetrics | Use when antepartum care by different provider |
From routine obstetric care to complex gynecologic oncology, our billing specialists have deep expertise across every OB/GYN subspecialty.
Prenatal care, high-risk pregnancies
Cervical, ovarian, uterine cancer
IVF, IUI, egg freezing, fertility
Incontinence, prolapse, urodynamics
Laparoscopy, hysteroscopy, robotic
Well-woman exams, contraception
Multi-provider and FQHC clinics
Complex excision, long-term care
OB/GYN practices face unique billing complexities. ClainetRCM turns these challenges into revenue opportunities.
Discover exactly how much revenue your OB/GYN practice is leaving on the table. No commitment, no cost, just clarity.
What You Get
What Happens Next
An OB/GYN billing specialist will contact you within 24 hours.
Send us 90 days of remittance data and we will show you which OB/GYN claims were underpaid, denied, or never worked, global obstetric packages included. Free, and you keep the report.
Start Your Free Audit TodaySend us 90 days of remittance data and we will show you, line by line, which claims were underpaid, denied, or never worked, and what it would take to recover them. No cost, no obligation, and you keep the report either way.