Episode and coverage changes
Track dates of care, transfers and payer changes. Identify whether global or component billing needs review for the actual episode.
OB/GYN BILLING SUPPORT
Follow the episode, not only the individual visit.
OB/GYN billing can combine preventive services, problem visits, procedures and maternity care across an episode. We organize dates, transfers and payer requirements before claims are finalized.
WHERE THE WORK GETS STUCK
The claim starts before submission.
A change in provider, coverage or delivery responsibility can change the billing picture. A global assumption made at the first visit may not match the completed episode.
SPECIFIC OPERATIONAL CHECKS
What we connect in the workflow.
Preventive and problem services
Review documented services and applicable coverage. A same-day problem visit needs separate support when reported.
Date-of-service coding
Confirm the code set effective on the service date and current payer policy. Do not apply future maternity code changes to earlier claims.
ILLUSTRATIVE CODE REFERENCES
Small details.
Different claim questions.
Examples for understanding the workflow.
Code selection follows the actual service.
| Code | Example service | Operational check |
|---|---|---|
| 59400 | 2026 maternity package example | Actual services, payer and date of service determine use. |
| 59425 / 59426 | 2026 antepartum component examples | Review the completed care and applicable requirements. |
Illustrative CPT, HCPCS or other billing references, not coding instructions or coverage promises. Current code sets, documentation, payer policy and date of service control the correct claim. Review the relevant billing reference
WHAT YOUR PRACTICE RECEIVES
Clear exceptions.
A visible next action.
An episode tracker, coverage-change exceptions and a documented maternity-to-claim handoff.
- A named owner and agreed communication plan
- Enrollment and payment setup gaps included in the review
- Written scope before access or service begins
CLAIM VOLUME AND SCOPE
Use your workload, not an industry guess.
Preventive visits, procedures and maternity episodes have different billing cycles. We assess each stream rather than multiply visits by a fixed claim value.
Billing is quoted as a percentage of monthly collections. Provider count, workflows and historical outstanding work help define the responsibilities included in your agreement.
See Billing & RCMBEFORE WE BEGIN
Agree on the details that affect delivery.
We map your payer mix, systems and the three workflow checks above, then agree on the records and scope needed. No practice information is required before the mutual agreement is signed.
No. We identify gaps and possible next actions. Coverage, records, filing windows and payer decisions determine whether a claim can be corrected or paid.
After the agreement and a BAA, we arrange a secure handover with approved access. Please do not send patient information through public website forms or regular email.
CONNECT THE DETAILS
Start with your practice, not a generic proposal.
A Free Practice Review connects billing, credentialing, enrollment and payment setup. We agree on scope first, with a signed agreement and BAA before practice data moves.