Global maternity package misuse
The global codes cover antepartum care, delivery and postpartum care by the same group. If any piece was provided elsewhere, the global code is wrong and will be recouped.
OB/GYN billing
OB/GYN billingservices
Obstetric billing is the only common outpatient workflow where a single claim can represent nine months of care. When a patient transfers, changes plans, or delivers elsewhere, the global package has to be taken apart correctly or the practice is paid for a fraction of what it did.
What actually gets denied
OB/GYN denials we workevery single day.
Antepartum-only splits
Partial care is reported with visit-count-specific antepartum codes or individual E/M visits depending on how many were provided. Choosing the wrong split loses real money on transfers.
Mid-pregnancy insurance changes
A coverage change during pregnancy divides the package across payers, each with its own rules for what it will accept.
Preventive and problem visits on the same day
An annual well-woman exam plus a separately identifiable problem needs both codes with a supported modifier 25.
Payer behavior
The quirks that decide whether you get paid
Medicaid maternity rules
State Medicaid programs frequently unbundle maternity and pay per visit, with their own forms and timeliness rules.
Newborn and delivery attribution
Services to the newborn belong on the newborn's coverage, and hospital-side coordination decides whether they are payable.
Ultrasound frequency
Obstetric ultrasound counts and indications are commonly limited and require indication-specific diagnoses.
Documentation traps
What we ask your providers to write down
Antepartum visit counts not tracked
The split depends on an accurate visit count across the pregnancy.
Delivery type and complications vague
Vaginal, cesarean, VBAC and attempted-then-converted are all different codes.
Postpartum visit not documented
The global package assumes it happened; auditors check.
How we support ob/gyn practices
Every ob/gyn account is staffed by coders who bill this specialty daily. The work spans our full medical billing and revenue cycle management services — coding, claim scrubbing, denial management and A/R recovery — and you can see how engagements are structured on our pricing page. For the full specialty bench, go back to all specialties we bill, or contact us at (555) 555-0142.
Further reading
MetricsDays in A/R: What the Number Actually Tells YouA single average hides more than it reveals. Read days in A/R alongside aging buckets, payer mix and write-off behaviour.DenialsWhy Claims Get Denied: The Patterns Behind Most RejectionsMost denials are not random. They cluster into a handful of causes you can name, count and design out of your workflow.
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