U.S.-based gynecology billing experts ensuring accurate CPT/ICD-10 coding, 98% clean claim rate, and full CMS compliance for annual exams, procedures, and surgical care.
Request a Free RCM AuditExpert use of preventive codes (G0101, 99381–99397) with correct E/M modifiers to capture full reimbursement for annual exams.
Correct coding for colposcopy, LEEP, endometrial biopsy, IUD insertions, and hysteroscopy with proper ICD-10 linkage (e.g., N89.0, Z30.01).
We manage global OB-GYN codes (59400) and apply modifiers -24, -25, -51 correctly to prevent denials and underpayment.
We follow Medicare LCDs and commercial payer policies for gynecology procedures to ensure clean claims and audit readiness.
Monthly reports on missed well-woman visits, underbilled procedures, and payer underpayments to recover lost revenue.
Work with coders who understand OB-GYN workflows, diagnosis specificity, and procedure bundling rules.
Gynecology billing requires precision in preventive coding, procedure specificity, and modifier usage — errors lead to automatic denials.
Using E/M codes instead of preventive G0101/99381–99397 triggers 50–100% revenue loss for annual exams.
Failure to bill for colposcopy, LEEP, or IUD insertion with correct diagnosis linkage results in $100–$500 lost per visit.
Missing modifier -25 on E/M services during procedure visits causes bundling denials.
Charge capture delays between nurse documentation and billing result in missed or under-coded services.
A seamless, 5-step workflow designed for private OB-GYN practices and clinics.
Verify benefits and eligibility before the visit to prevent claim rejections.
Assign accurate CPT and ICD-10 codes with correct modifiers based on clinical documentation.
Submit clean claims with NCCI edit validation and payer-specific rule checks.
Appeal denials within 48 hours for coding, modifier, or documentation issues.
Deliver monthly KPIs: missed well-woman codes, underbilled procedures, net collection %, and payer performance.
Clean Claim Rate
Fewer Claim Denials
Recovered Procedure Revenue
Based on 29 OB-GYN clients served in 2024. Results may vary.
Discover how Florida OB-GYN practices cut denials by 42% with structured coding and real-time eligibility checks.
Read Case Study →Learn how missed well-woman codes, modifier errors, and diagnosis gaps cost OB-GYN practices thousands monthly.
Explore More →The average OB-GYN practice loses 20–30% of revenue to preventable denials and coding errors.