We master complex global OB packages (59400–59430), delivery codes, postpartum E/M visits, and gynecologic surgery bundles—ensuring you’re paid for every service rendered, with no undercoding or missed modifiers.
Full alignment with Horizon BCBS medical policies, Novitas LCDs, and NJ Medicaid edits. We prevent common denials like “missing prior authorization” or “incorrect global period billing.”
Our denial resolution team recovers 90%+ of underpaid OB claims—especially for surgical procedures like laparoscopies and hysteroscopies denied for “medical necessity.”
Clean claim rate >98%. Average AR days reduced from 45 to 28. Real-time dashboards track KPIs by payer, provider, and procedure type.
Direct access to certified OB/GYN billing specialists during East Coast business hours—no offshore teams, no long hold times.
Works with your existing system (e.g., AthenaHealth, Epic, NextGen) and supports end-to-end Revenue Cycle Management—from scheduling to patient statements.