OBGYN billing is the most structurally complex billing environment in women's health. The global obstetric package bundles prenatal, delivery, and postpartum care into a single code that must never be unbundled. Split maternity care billing requires tracking which provider rendered each component. Gynecology billing services span colposcopy, hysteroscopy, LEEP, IUD, endometrial biopsy, and laparoscopy, each with distinct add-on code capture requirements. RBS obstetrics and gynecology billing manages every component correctly across every payer.
Right Billing Solutions family practice revenue cycle management handles every revenue stream your practice generates, including the value-based care billing codes most family physicians qualify for but never capture.
OBGYN billing losses occur at both ends of the specialty. In obstetrics, unbundling the global package creates compliance exposure while missing split-care components loses revenue. In gynecology, add-on codes for procedures performed during the same operative session are systematically missed. Both patterns accumulate silently across hundreds of encounters before anyone connects them to a specific billing workflow failure.
Average annual revenue lost per OB GYN practice from global package errors, missed GYN add-on codes, and split-care billing gaps
Of OB GYN practices do not have systematic add-on code capture for gynecology procedures performed during the same operative hysteroscopy or laparoscopy session
Of split maternity care encounters are billed using incorrect component codes when the delivering provider differs from the antepartum provider
Higher ultrasound billing denial rate for OB GYN practices without systematic TC/26 modifier management across in-office and hospital settings
Commercial payers have increased audit activity on OB-GYN claims where individual prenatal visits are billed in addition to global obstetric package codes. When a single practice group delivers the global package, billing individual antepartum visits separately to the same payer is a compliance violation. OB GYN practices that have not standardized their global package billing across all providers in the group face both audit exposure and payer recoupment for the unbundled visit charges.
USPSTF and HRSA preventive services recommendations affecting women's health billing continue to be updated, changing which services must be covered at zero patient cost-sharing under the ACA. Annual well-woman exam billing, cervical cancer screening, BRCA counseling, and gestational diabetes screening coverage tiers change as recommendations are updated. OB GYN practices without current preventive services coverage matrices risk incorrect patient billing on services that qualify for full coverage under current guidelines.
CMS finalized RVU adjustments across obstetrics and gynecology procedure codes in the CY2026 Physician Fee Schedule. Maternity care billing services codes including global OB packages and antepartum care codes were affected. Gynecologist billing services codes for laparoscopic and hysteroscopic procedures saw adjustments. OB GYN practices that have not reconciled billed charges against updated CY2026 allowable rates are systematically collecting below the correct reimbursement level across their highest-volume code categories.
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