Specialized OBGYN Medical Billing Services for Your
Practice
Our team of certified medical billers and coders offers specialized OBGYN medical billing services.We handle your billing and claims so your practice stays protected,letting you focus on caring for women, newborns, and families.
Smarter Billing Solutions with Our Best OB GYN Billing Company
Paperwork should never slow your practice. Nextgenbillingsolution streamlines OB/GYN billing, ensuring technical tasks are handled accurately and efficiently from the start. Before each visit, we perform eligibility checks to verify benefits and prior authorizations, so you know exactly what the plan will cover. After the visit, we conduct structured charge capture, mapping services to the correct CPT/HCPCS codes with appropriate modifiers and units, then submit claims electronically. Each claim is carefully scrubbed against payer-specific rules—including NCCI/MUE and plan policies—to catch errors before submission, reducing denials.
Why Choose Specialized OBGYN Medical Billing Services?
OB/GYN billing differs significantly from general medical billing. Global maternity bundles, evolving payer rules, and numerous procedure codes make it easy to miss revenue. Even a small error can delay payments for weeks. That’s why partnering with a billing company experienced in OB/GYN iscrucial.Nextgenbillingsolution offers specialized OB/GYN billing services with proven workflows for both gynecology and obstetrics. We verify benefits, confirm authorizations, and submit claims accurately the first time. When payers push back, we handle appeals quickly with clear clinical documentation. In short, Nextgenbillingsolution’s OB-GYN billing experts help you minimize write-offs and maintain predictable revenue.
Complexities in OB/GYN Medical Billing And How We Solve Them
Bundled Maternity Billing
Prenatal, delivery, and postpartum care are often billed as a single global package. A denial at this stage can delay reimbursement for months. Nextgenbillingsolution tracks each visit and add-on service—such as ultrasounds, inductions, and C-sections—and ensures they are billed accurately.
Navigating Complicated Payer Rules
Insurance plans may limit certain OB or GYN services. Some procedures require prior authorization, while others need additional documentation to demonstrate medical necessity. Nextgenbillingsolution verifies benefits, provides clear cost estimates for families, and submits complete and compliant claims.
Multi-Facility Care Settings
OB/GYN care can take place in clinics, hospitals, birth centers, ASCs, and neonatal units. Nextgenbillingsolution applies the correct place-of-service and facility rules, ensuring that women’s and newborns’ services are reimbursed correctly the first time.
Navigate Complex Payer Policies with Experts
Obstetrics and gynecology services often involve complex payer rules and coverage limitations. Insurance plans may cover certain services while excluding others, which can make understanding policies confusing for patients. That’s why it’s crucial to clearly explain coverage details when appointments are scheduled, helping to prevent unexpected bills later. The nextgenbillingsolution OB-GYN billing team is experienced in navigating these intricate policies, providing clear guidance on what is covered and what isn’t, and following OB-GYN billing guidelines to ensure compliance and reduce payment delays.
Customized OBGYN Medical Billing Services for Small & Large Practices
Every OB-GYN practice is unique, which is why nextgenbillingsolution creates a plan customized to your workflow. Choose only the services you need and manage the rest in-house. We integrate seamlessly with your EHR, set clear SLAs/KPIs, and adjust as your patient volume changes:
Credentialing & Enrollments – Keep payer files up-to-date and prevent service interruptions
Obstetrics Billing Services – Cover prenatal, delivery, and postpartum care
Gynecology Medical Billing Services – Handle preventive, diagnostic, and surgical billing
Coding Audits & Compliance – Reduce denials and minimize risk
Complete End-to-End OB/GYN Claims Management
Strong claims management keeps cash flowing in your OB-GYN practice. Nextgenbillingsolution ensures a seamless, end-to-end process that minimizes denials and accelerates payments. Key factors include:
Verify coverage, referrals, and prior authorizations before each visit.
Capture complete charges from notes and templates to prevent missed items.
Assign accurate CPT, ICD-10, and HCPCS codes with compliance checks.
Submit claims daily with payer-specific edits to reduce rejections.
Your Trusted OB/GYN Medical Billing Company for Complete
RCM
Protecting Your OB-GYN Revenue Stream is What We Do Best
Protecting your revenue is our top priority. With nextgenbillingsolution’s OBGYN medical billing services, you can focus entirely on patient care while we handle paperwork, coding, audits, and payer follow-ups. Practices partnering with nextgenbillingsolution experience a 98.5% first-pass clean-claim rate, 30% fewer A/R days, 25% higher cash collections, 40% improved practice efficiency, and 60% fewer claim denials—ensuring faster cash flow and allowing your team to spend more time with patients.
Complete OB-GYN Revenue Cycle Services, Flexible to Fit Your Needs
Our services at nextgenbillingsolution are fully comprehensive and tailored to your needs. You can utilize the complete program or select only the services you require. We leverage proprietary software for patient scheduling and insurance verification, paired with certified OB-GYN billers who stay up-to-date with annual code changes and payer regulations. This powerful combination minimizes claim rejections and denials, and when they do occur, our specialists quickly identify the root cause and efficiently appeal to recover payments.
Frequently Asked Questions
What makes OBGYN billing different from general medical billing?
Nextgenbillingsolution’s OB/GYN billing services cover global maternity bundles, adhere to strict payer rules, manage multiple care settings, and handle numerous specialty codes. Our team ensures precise documentation and accurate coding to protect and maximize your revenue.
Do you handle both gynecology and obstetrics billing?
“Yes. Nextgenbillingsolution manages comprehensive gynecology and obstetrics billing services, including newborn-related claims whenever required.”
Can you help with hormonal imbalance, infertility, and other specialized GYN care?
“Absolutely. Nextgenbillingsolution handles billing for therapies related to hormonal imbalance, infertility workups, pelvic pain, endometriosis, and minimally invasive surgery, ensuring correct modifiers and full medical necessity support.”
Do you work with our EHR/PM and clearinghouse?
Yes. Nextgenbillingsolution integrates with leading systems, configures payer-specific edits, and creates templates tailored to your workflows, ensuring faster and more accurate claims through our OB/GYN medical billing services.
How do you reduce denials and speed up payments?
At nextgenbillingsolution, we verify benefits upfront, ensure accurate coding, submit clean claims daily, and address denials within 24–48 hours. Our dashboards highlight root causes so we can resolve issues permanently.