Specialty billing
OB/GYN medical billing
OB/GYN revenue spans global maternity care, gynecologic surgery, and office procedures. Medflux manages the billing logic those packages demand – from antepartum dating to postpartum inclusions – and works denials that come from package and auth complexity.
Billing challenges
What trips up OB/GYN claims
- Global OB packages require correct start, unbundling rules, and postpartum inclusion awareness.
- Ultrasound frequency and indication codes draw medical-necessity scrutiny.
- Gynecologic surgeries bring global periods and multi-procedure ranking issues.
- Infertility and elective service exclusions must stay off medical claims when not covered.
How we help
Medflux approach
- Maternity package tracking support aligned to your prenatal workflow.
- Surgery and office procedure coding review with modifier discipline.
- Denial management for package, ultrasound, and auth-related rejections.
- Clear reporting across OB production vs. GYN clinic/surgery.
FAQ
OB/GYN billing questions
Yes – based on payer rules and whether care was transferred or partial. We confirm package vs. itemized logic per major payer during setup.
We map rendering credentials and payer enrollment so each provider bills under the correct structure.
Partial care is coded to the appropriate antepartum codes rather than forcing a global that the record does not support.
Next step
Find out what your practice is leaving on the table.
A free review of your recent claims and denials — plain findings, no pressure theater.