Prenatal bundling and ultrasound limits shouldn't cost you revenue.
OB/GYN billing has some of the most complex bundling rules in medicine, especially for prenatal care. We build appeals around the denial patterns specific to obstetric and gynecologic billing.
Denials we see most in ob/gyn.
Every specialty has its own denial patterns. Here's what we typically find in ob/gyn practices.
Global maternity billing disputes
Global OB billing bundles prenatal, delivery, and postpartum care, and disputes often arise over what falls inside vs. outside that bundle.
Ultrasound frequency limits
Payers cap the number of covered prenatal ultrasounds, and additional medically necessary scans require documentation to appeal.
High-risk pregnancy coding
High-risk OB codes require specific documentation of the risk factor, and are frequently denied when that link isn't explicit.
Gynecologic procedure medical necessity
Hysterectomies and other GYN procedures face medical necessity scrutiny similar to orthopedic surgery, requiring detailed conservative-treatment history.
The same done-for-you service, built for your specialty.
We pull your denials
Connected to your billing workflow, reviewed as they come in.
AI drafts, specialists review
Every appeal is cited to payer policy and reviewed by a billing specialist before it's sent.
We handle payer follow-up
Calls and re-submissions your staff doesn't have time for.
You see what's recovered
A simple monthly report on what was appealed and what came back.
See what your ob/gyn denials are costing you.
Send us a sample of your recent denials. We'll show you what we'd appeal and what it could recover, free.
Get my free denial audit →Frequently asked questions.
Do you handle global maternity billing disputes specifically?
Yes, these require understanding what's bundled in the global fee versus billed separately, which is different payer to payer.
Can you appeal denied ultrasounds beyond the standard limit?
Yes, when there's a documented medical reason for additional imaging, we build the appeal around that.
How do you handle high-risk pregnancy denials?
We cite the specific risk factor documentation required by the payer's high-risk coding policy.
Do you support both OB and GYN billing, or just one?
Both, we scope onboarding to your practice's actual mix of obstetric and gynecologic services.