OB/GYN billing is one of the most complex areas in medical reimbursement because it combines routine preventive care, high-risk obstetric services, and surgical procedures. Studies show that 40%–75% of physicians in the U.S. experience professional burnout, often linked to administrative workload and billing complexity. These pressures make efficient and accurate revenue cycle management essential for maintaining both financial health and physician well-being.
At Dastify Solutions, our OB GYN medical billing and coding services are built around the unique demands of women’s health practices.
We track key performance indicators like clean claim rate, denial rate, and days in accounts receivable to ensure your practice stays financially healthy and efficient.
Patient Intake & Eligibility Verification
We capture complete patient demographics, insurance details, and pregnancy status during intake to ensure accurate record-keeping. Eligibility and benefits are verified in real time, including prior authorizations for high-risk obstetric services and specialty gynecologic procedures. This proactive approach prevents coverage-related claim denials and supports smooth billing from the very first patient encounter.
Charge Capture
OB/GYN Medical Coding
Claims Scrubbing and Submission
Payment Posting & Reconciliation
Patient Billing & Support
Maternal-Fetal Medicine (Perinatology)
Reproductive Endocrinology & Infertility (REI)
Gynecologic Oncology
Urogynecology (Female Pelvic & Reconstructive Surgery)
Pediatric & Adolescent Gynecology
Menopause & Midlife Women’s Health
Minimally Invasive Gynecologic Surgery (MIGS)
Family Planning & Contraception
General Obstetrics & Gynecology
Providers often struggle to decide between billing a global package (CPT 59400) versus separate antepartum and delivery codes. Our certified coders (CPC®, COBGC®) specialize in split and bundled billing rules, including VBAC delivery (CPT 59610) and postpartum-only services (59430).
According to the 2025 billing amendments, CPT codes 98000 to 98007 are used for video telehealth visits, and the older phone-only codes 99441 to 99443 have been replaced with new audio-only codes. Following these updates is important for compliance. Our OB-GYN medical billing services ensure the correct usage of POS 10 vs. POS 02 and correct the modifier 95/93 application for tele-obstetrics.
Common OB-GYN denials include medical necessity issues for ultrasounds, global overlap edits, and lapses in eligibility. Our denial prevention team uses AI claim scrubbing and RPA bots to maintain a <48-hour charge lag and improve first-pass acceptance rates.
Emerging models, such as CMS’s TMaH wrap-around payment, create new billing complexities. We align charge capture and coding with episode-based reimbursement and quality incentives to ensure optimal reimbursement.
Medicare & Medicaid
Global maternity billing in accordance with CMS rules, ensuring that bundled services aren’t mistakenly itemized.
Commercial Payers (UHC, BCBS, Aetna, Cigna)
Track visit limits, documentation requirements, and know when to split prenatal care vs. delivery billing. No more denials for overlapping services.
Appeals & Payer Compliance
Our specialists file timely appeals, submit medical records with proper narratives, and reduce rejections caused by missing codes or prior authorization lapses.
No need to hire, train, or manage
in-house billing staff. We handle everything, saving your practice up
to 50% in overhead costs.
Your practice gets a dedicated account manager who understands maternity global packages, surgical billing, and 800+ payer rules.
Claims are submitted accurately and quickly, reducing payment delays and improving cash flow.
“Client names are withheld for confidentiality and may be shared upon request”
Dastify Solutions has been a huge help with all of our surgical prior authorizations. They are reliable, efficient, and make the process so much easier. We can always count on them, which allows us to focus on providing the best care for our patients. Highly recommend!
Very happy with Dastify’s services for our practice. We highly recommend them! They are very thorough and professional.
Dastify is awesome! They have assisted our company every step of the way. They are easy to work with and are always responsive and professional. I would recommend them for all of your billing needs!
OB/GYN billing covers bundled maternity packages, surgical procedures, and preventive women’s health services. Billing for prenatal, delivery, and postpartum care falls under global maternity codes (59400 to 59622), which have strict payer rules. Errors, such as including unrelated office visits in the global package or incorrect use of modifiers (-24 for unrelated visits or -25 for same-day services), are common causes of denials. Specialized knowledge is essential to code these correctly and protect revenue.