Our OB claims keep getting denied and nobody can tell me why.
We trace every OB denial to its root cause, payer by payer: global package splits, transfers of care, modifiers, medical necessity. Then we tell you what it's costing.
100+
OB/GYN Practices
96%
Paid on First Submission
67 → 38
A/R Days After Onboarding
99%
Coding Accuracy
24–48 hrs
Charge-to-Claim
Free 90-day audit. No fee, no obligation, findings in 5 business days.
Six things OB/GYN physicians tell us on the first call. The audit answers every one with numbers from your own claims.
We trace every OB denial to its root cause, payer by payer: global package splits, transfers of care, modifiers, medical necessity. Then we tell you what it's costing.
You get a 2027 readiness check: fee schedule, charge capture, EHR templates, and payer rollout, so the change lands as a plan instead of a Q1 cash-flow surprise.
Hysterectomies, LEEPs, D&Cs, laparoscopies: we check bundling edits, modifiers, and op-note support on every surgical claim in the 90-day window.
A compliance review comes with the audit: documentation support, upcoding and undercoding exposure, and the codes that draw payer attention.
That shortage is why we exist. Our coders are COBGC-certified and work on OB/GYN claims only. You don't have to hire, train, or hope.
The report puts a dollar figure next to every leak: missed units, denied claims, aged A/R, credentialing gaps. No jargon, no guessing.
Eight places OB/GYN revenue goes missing. We check every one and put a dollar figure next to it.
Which payers deny most, why, and how much is sitting unappealed or past the appeal window.
Antepartum, delivery, and postpartum split correctly today, and what changes under the 2027 OB codes.
Bundling edits, modifiers, and op-note support on every hysterectomy, LEEP, laparoscopy, and D&C.
Documentation that supports the code billed. Upcoding and undercoding exposure flagged before a payer does.
State pregnancy programs, TMHP and managed Medicaid plans each follow their own rules. We check yours against them.
How much is past timely filing, how much is still collectible, and exactly who owes it.
Visits, procedures, ultrasounds, and units that were performed and documented but never billed.
New providers, lapsed enrollments, and out-of-network payers that are quietly rejecting claims.
The way global maternity care is reported changes in 2027. Practices that wait for the first denials to find out will feel it in Q1 cash flow.
Specialized OB/GYN billers and coders are hard to find, so most practices settle for a generalist. A generalist treats a global OB claim like any other claim. That is usually where the revenue goes. It took us ten years to build this team. You get it on the first call.
Global packages, delivery-only, antepartum-only, multiple gestation, transfers of care and high-risk visits each follow a different coding path, and every payer adds its own rules on top.
Hysterectomy approaches, LEEP, colposcopy, IUD insertion and removal, pelvic ultrasounds and same-day E/M visits carry bundling edits and modifier rules that change payer to payer.
COBGC-certified coders, billers who have worked only OB/GYN claims for years, and a decade of payer history across 100+ practices.
Nothing moves until the BAA is signed. Nothing moves that the audit doesn't need.
Signed BAA before any access. Encrypted transfer, access logs, and staff trained on PHI handling.
Auditors see claims, remits, and A/R. They can't change anything in your system.
6136 Frisco Square Blvd, Ste 418. A US number, US business hours, and a named account manager.
A decade of claims across 100+ OB/GYN practices. The audit is built on that history.
Request the audit or book a quick call. Whichever is easier for you.
Submit the form, then pick a 5-minute slot that suits you. Findings report within 5 business days of receiving your data.