Obstetrics & Gynecology
Healthcare IT and billing built for an OB/GYN practice
Global obstetric packages, prenatal tracking and gynecologic procedure billing on one platform.
Why obstetrics & gynecology is different
Obstetric billing is unlike anything else in medicine: a global package spanning nine months of care, delivered by multiple providers and billed once, with careful carve-outs for services that fall outside the package.
Healthcare SBC tracks the entire maternity episode, identifies separately billable services, manages transfers of care, and handles the gynecologic surgical and in-office procedure billing that runs alongside it.
Common challenges
Where obstetrics & gynecology practices lose revenue
The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.
Global maternity package rules
Determining what falls inside versus outside the global package is the single largest source of lost OB revenue.
Transfers of care
Patients who transfer in or out mid-pregnancy require itemized billing that global-package workflows handle badly.
High-risk pregnancy services
Additional visits, testing and consultations for high-risk pregnancies are separately billable but frequently bundled by mistake.
In-office ultrasound billing
Professional and technical components, and correct trimester-specific codes, determine whether imaging is paid.
How we address it
Built for obstetrics & gynecology workflows
- Full maternity episode tracking from confirmation through postpartum
- Automatic identification of services billable outside the global package
- Itemized billing workflows for transfers of care
- Prenatal flowsheets with risk stratification and gestational age tracking
- In-office ultrasound documentation with component-level billing
Commonly billed codes in obstetrics & gynecology
A sample of the codes our obstetrics & gynecology coders work with daily.
- 59400Routine obstetric care including antepartum, vaginal delivery and postpartum
- 59510Routine obstetric care including cesarean delivery
- 76805Ultrasound, pregnant uterus, after first trimester
- 58558Hysteroscopy with sampling and/or polypectomy
- 99213Established patient gynecologic office visit
Codes shown for reference only. Verify against current code sets and payer policy.
Other medical specialties
Cardiology
Procedural and diagnostic billing precision for cardiology, from office E/M through cath lab and device monitoring.
Dermatology
High-volume visit throughput, lesion documentation and pathology tracking for medical and cosmetic dermatology.
Gastroenterology
Endoscopy scheduling, screening versus diagnostic colonoscopy logic and pathology tracking for GI practices.
FAQ
Obstetrics & Gynecology, frequently asked questions questions
- How is global maternity billing handled?
- The platform tracks every encounter across the pregnancy against the global package definition, automatically identifying services that fall outside it, such as unrelated problem visits, additional ultrasounds and high-risk monitoring, so they are billed separately rather than absorbed.
- What happens when a patient transfers care mid-pregnancy?
- The system converts the episode to itemized billing, calculating the antepartum visit count and applying the correct partial-care codes so you are paid for the care actually delivered.
- Do you support in-office ultrasound billing?
- Yes. Ultrasound studies are documented with the required elements and billed with correct professional and technical component splitting based on your equipment ownership and place of service.
We're here to help
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