From treating hormonal imbalances to delivering newborn babies, your hands are full providing quality care to women. Nexus io’s OBGYN billing services are designed for the unique needs of obstetrics and gynecology practices.
We handle everything from CPT and ICD-10 coding for OB-GYN procedures to insurance claim management and revenue cycle optimization. We help you stay focused on patient care while we manage accurate coding, timely reimbursements, and your practice’s financial health.
Obstetrics and Gynecology (OBGYN or OB/GYN) plays a vital role in supporting women’s health throughout every stage of life. This combined specialty focuses on women’s reproductive health, covering pregnancy, childbirth, menopause, hormonal imbalances, infertility, contraception, cervical cancer management, and complete prenatal, intranatal, and postnatal care.
OBGYN practices handle multiple responsibilities, from consulting rooms to surgeries, delivery suites, and Neonatal Intensive Care Units (NICU) care. This fast-paced routine leaves little time to manage complex medical billing tasks. So, OB/GYN billing services help to accelerate faster reimbursements and steady cash flow for the practices.
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In the United States, obstetricians and gynecologists face burnout rates of 40% to 75%. These rates force many providers to sacrifice sleep, meals, and family time to care for their patients’ physical, mental, and emotional well-being. Beyond clinical duties, they spend hours managing paperwork for claim submissions and revenue tracking. The burden increases with bundled services, revised coding guidelines, payer-specific policies, and strict documentation requirements that complicate OBGYN billing. Major pain points in OBGYN billing are:
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Medical billing is complex and time-consuming. Gynecologists and obstetricians spend 1–4 hours daily managing claims. Multiple visits over months, bundled vs. non-bundled billing, and overlapping procedures add to the complexity. Nexus io simplifies this with specialized OB/GYN billing services to minimize errors, maintain compliance, and ensure faster payments.
Common errors in OBGYN medical billing occur due to the complexities of OBGYN services and payer-specific rules. Incorrect bundling of prenatal and intranatal services and wrong place of service codes often result in claim denials. Billing uncovered procedures, missing documentation for antepartum care, and incorrect modifiers in reproductive surgeries also disrupt reimbursements. Double-billing for twins and errors in high-risk, multidisciplinary care also affect revenue.
Nexus io simplifies OBGYN billing by managing every step of the process with precision. We handle global maternity claims for bundled pregnancy, labor, and postpartum care, ensuring appropriate CPT codes like 59400 and modifier such as modifiers such as TH and GC when required. Our OBGYN medical billers verify patient eligibility, apply correct place of service codes, and track documentation throughout the maternity period to avoid denials.
For complex cases like reproductive surgeries, twin deliveries, or interdisciplinary obstetric care, we create accurate and compliant claims to prevent denials and maximize reimbursements.
Our certified OBGYN coders stay updated with the latest CPT and ICD-10 code updates, including 59510 for cesarean delivery with postpartum care, 59409 for vaginal delivery only, and 59618 for VBAC with delivery. We also apply modifiers like 22 for increased procedural services and 51 for multiple procedures to ensure payers receive complete and accurate claim details.
This approach improves reimbursements and streamlines OBGYN billing process across all care settings.
We provide 24/7 support for all OB/GYN billing and revenue cycle services. Whether your practice offers prenatal care, gynecological exams, ultrasounds, or surgical procedures, our team ensures precise CPT and ICD-10 coding with timely claims processing.
We help reduce denials, manage global billing periods, and recover unpaid accounts receivable. Each service is aligned with payer guidelines and compliance standards specific to obstetrics and gynecology.
our gynecology billing specialists work to improve cash flow and reimbursement speed, so you can focus on women’s health.
OBGYN practices deliver essential women’s healthcare across multiple settings OBGYN clinics, hospitals, nursing homes, and pediatric units. Each setting has unique billing rules and payer policies, making revenue cycle management (RCM) challenging.
Our OBGYN RCM solutions cover the full cycle: eligibility verification, charge capture, ICD-10 and CPT coding, claims submission, denial management, and payment posting. We manage bundled maternity services, high-risk pregnancies, and specialized gynecological care to ensure accurate reimbursements and reduce revenue leakage.
Our OBGYN medical billers and coders team has extensive experience across the entire OBGYN sub-specialties, including:
Nexus io is your trusted partner for OB-GYN billing services. We have specialized expertise in OB-GYN procedures, which result in a maximized reimbursement cycle and profitability. Fill out the brief form, and one of our medical billing experts will contact you within 12 hours.
What makes Nexus io the best OBGYN billing company?
Nexus io is known as an affordable, expert OBGYN billing company. We manage global maternity care, women’s health procedures, and high-risk pregnancies with precision. Our team guarantees accurate coding, strict payer compliance, and faster reimbursements, all to optimize your revenue cycle.
How does Nexus io support OBGYN practices?
We provide end‑to‑end OBGYN billing services that cover eligibility checks, charge capture, claims submission, denial management, and payment posting. By simplifying the full process, we enable OBGYN practices to focus on patients’ reproductive care, while we manage the financial and compliance aspects of their operations.
Do you manage OBGYN surgical procedure claims?
Yes. Our OBGYN medical billing team specializes in coding and processing claims for obstetric and surgical procedures such as C-sections, hysterectomies, and laparoscopic surgeries. We apply the correct CPT codes and modifiers to ensure clean claims and maximum reimbursements.
What is the most challenging part of OBGYN billing?
The most challenging part is managing the complexities of medical billing tied to bundled maternity care, changing CPT codes, and payer-specific rules. These challenges are amplified for women’s health procedures and high-risk pregnancy cases. Our team stays updated on regulations to reduce errors and prevent revenue leakage.
Do OBGYN billing services cover multiple care settings?
Yes. Our solutions support OBGYN clinics, hospitals, and pediatric units. We ensure compliance with each facility’s billing requirements and accurately capture services across diverse care settings to maintain steady cash flow.
How do OBGYN billing services help with revenue cycle optimization?
By managing claims for both routine visits and surgical procedures, we streamline the entire revenue cycle. This includes verifying patient eligibility, coding accurately, and resolving denials promptly, helping practices boost collections and focus on delivering quality care.
Connect with Nexus io’s billing specialists today to secure maximum reimbursements for women’s reproductive healthcare. Fill out our form, and our team will contact you promptly.
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