OBGYN billing is not general medical billing performed on reproductive health claims. It is a distinct revenue cycle discipline built on the dual-track reimbursement model — global obstetric packages and fee-for-service gynecologic procedure billing — governed by payer-specific maternity benefit structures, trimester-based antepartum visit counting rules, and modifier-dependent surgical coding logic that differs fundamentally from the E/M-heavy physician billing model most general RCM companies are built to manage.
This is why experienced OBGYN billing companies play a critical role in helping obstetrics and gynecology practices maintain compliance, reduce denials, and recover the reimbursement they are already earning on every patient encounter.
According to MGMA benchmarking data, the average OBGYN practice collects 88%–92% of its net collectible revenue. Top-performing practices consistently achieve 95%–97%. At $2.5M in OBGYN billing per 12 months, that 5–7 percentage-point performance gap represents $125,000–$175,000 in recoverable revenue that the wrong billing company writes off per billing cycle due to global OB package errors, antepartum visit miscounts, and gynecologic surgical bundling mistakes.
We evaluated the leading OBGYN billing companies against five criteria specific to obstetrics and gynecology revenue cycle management. Here is what the comparison reveals.
How We Evaluated OBGYN Billing Companies
Global OB Package Coding Expertise: Certified coders with specific training in CPT global obstetric codes (59400, 59510, 59610, 59618), payer-specific antepartum visit counting requirements, and the modifier logic governing split-care, early termination, and high-risk pregnancy billing — not generalists applying E/M logic to maternity claims.
Gynecologic Surgical Coding and Bundling Accuracy: Systematic application of CPT bundling rules and NCCI edits for laparoscopic and hysteroscopic procedures, including correct modifier use for separately payable components of multi-procedure gynecologic surgeries.
Payer-Specific Maternity Benefit Management: Active tracking of commercial payer global OB benefit structures, trimester-specific antepartum visit allowances, and high-risk obstetric coverage policies that differ materially across payers.
Net Collection Rate on OB and GYN Claims: NCR benchmarked separately against MGMA OBGYN data — not blended primary care averages that mask the performance gaps specific to obstetric global package and gynecologic surgical reimbursement.
Multi-Provider Practice Scalability: Ability to support multi-physician OBGYN groups managing concurrent obstetric panels, OB call coverage billing, and gynecologic surgical schedules with real-time AR visibility for practice administrators.
Quick Comparison: Best OBGYN Billing Companies 2026
| Company | Best For | OBGYN Expertise | Reported NCR | Global OB Management | Enterprise Fit |
| Medical Billers and Coders (MBC) | Multi-physician OBGYN groups and PE-backed women’s health networks | OBGYN-certified, specialty-specific coders | 97%+ | Standard pre-delivery workflow | ★★★★★ |
| Greenway Health RCM | Greenway platform OBGYN practices | Specialty-aware, platform-integrated | ~93% | Included | ★★★★☆ |
| Coronis Health | Health system-affiliated women’s health programs | Broad RCM, OBGYN module | ~92% | Varies by contract | ★★★★☆ |
| AdvancedMD RCM | AdvancedMD platform OBGYN practices | Physician-focused, limited OB package depth | 94% FPAR* | Not included | ★★★☆☆ |
| CareCloud | Mid-size GYN-focused practices | General multi-specialty | ~89% | Practice-managed | ★★☆☆☆ |
FPAR = First Pass Acceptance Rate on claim submission, not ultimate global OB package revenue recovery. AdvancedMD does not provide in-house medical coding for OBGYN specialty claims.
Looking for a broader comparison across all specialties? See our Best Medical Billing Companies 2026: Compared & Reviewed
#1 — Medical Billers and Coders (MBC): Best for Multi-Physician OBGYN Groups
MBC’s OBGYN billing services practice is built on the three technical requirements that distinguish obstetric and gynecologic revenue cycle management from every other specialty: global OB package accuracy, antepartum visit reconciliation, and payer-specific maternity benefit tracking.
Global OB Package Coding and Antepartum Visit Reconciliation: The global obstetric codes (CPT 59400 for vaginal delivery, 59510 for cesarean) bundle antepartum care, delivery, and 6-week postpartum care into a single reimbursable unit — requiring precise tracking of antepartum visit counts to determine whether the global package or individual component codes (59425, 59426) apply. MBC’s OBGYN billing coders are trained on payer-specific antepartum counting rules, split-care modifier requirements when multiple providers share obstetric care, and the high-risk pregnancy modifiers that unlock additional reimbursement under CPT 59055 for medically necessary antepartum management. Applying standard E/M billing logic to obstetric claims produces systematic undercoding that most practice administrators never detect because accepted claims carry no denial signal.
Gynecologic Surgical Bundling and NCCI Compliance: CMS NCCI edits govern which gynecologic surgical procedures can be billed separately in multi-procedure encounters. Laparoscopic hysterectomy with concurrent adnexal surgery, hysteroscopic procedures with cervical dilation, and endometrial ablation bundling rules require modifier 59 or XS application to correctly unbundle separately payable components. MBC’s charge entry workflow includes a surgical code review checkpoint against current NCCI edits before submission — eliminating the most common category of gynecologic surgical denials at high-volume OBGYN practices.
Payer-Specific Maternity Benefit Tracking: Commercial payers publish maternity benefit structures that differ materially across contracts — including antepartum visit count limits, high-risk OB care coverage tiers, and hospital-based versus office-based delivery billing rules. MBC actively maintains payer-specific maternity benefit matrices and updates billing workflows when payer contracts renew, preventing the most common commercial payer OB denial: billing the global package to a payer that requires component-level antepartum billing under its specific contract terms.
97%+ NCR on OBGYN Claims: For a multi-physician OBGYN group billing $3M per 12 months in combined obstetric and gynecologic revenue, each percentage point above the national median in NCR represents $30,000 in recovered reimbursement — compounding across every delivery, surgical case, and antepartum panel the practice manages.
Best For: Multi-physician OBGYN groups, PE-backed women’s health networks, high-volume obstetric practices managing concurrent antepartum panels, and gynecologic surgery-focused practices requiring NCCI-compliant multi-procedure billing accuracy.
#2 — Greenway Health RCM: Best for Greenway Platform OB-GYN Practices
Greenway Health’s RCM offering integrates directly with its OB-GYN-compatible practice management platform, reducing administrative friction between prenatal scheduling, delivery documentation, and claim submission. For OB-GYN practices already operating on Greenway’s EHR, the integrated workflow supports antepartum visit tracking and delivery charge capture within the platform.
Best For: Single and small-group OB-GYN practices operating on the Greenway Health EHR seeking integrated billing and antepartum documentation management.
#3 — Coronis Health: Best for Health System-Affiliated Women’s Health Programs
Coronis Health’s enterprise RCM infrastructure supports OB-GYN billing as part of its broader women’s health and hospital revenue cycle capabilities. For OB-GYN programs operating within health system-affiliated facilities already integrated into Coronis’s RCM platform, the OB-GYN billing module provides functional coverage for standard obstetric and gynecologic claim types.
Best For: Health system-affiliated OB-GYN programs already integrated into Coronis’s broader hospital and physician group RCM infrastructure.
#4 — AdvancedMD RCM: Best for AdvancedMD Platform OB-GYN Users
AdvancedMD’s RCM offering provides billing services integrated with its practice management platform. For OB-GYN practices operating on AdvancedMD, the integrated workflow reduces administrative friction between obstetric scheduling, documentation, and claim submission.
Best For: OB-GYN practices already on the AdvancedMD platform with established in-house specialty coding staff who need support with billing submissions and AR management.
#5 — CareCloud: Best for GYN-Focused Practices Seeking Workflow Visibility
CareCloud’s dashboards and denial-management workflows provide operational visibility for practices managing moderate gynecologic claim volumes. However, CareCloud’s billing infrastructure is optimized for physician E/M-heavy practice revenue cycles — not the global package and surgical bundling logic that governs OB-GYN reimbursement.
Best For: Small GYN-focused practices with limited obstetric volume seeking basic claims management and reporting dashboards within the CareCloud ecosystem, with in-house coding staff managing specialty-specific code selection.
OB-GYN Billing Pricing: What Multi-Physician Practices Should Expect
OB-GYN billing pricing typically follows a percentage-of-collections model ranging from 4% to 8% of net collected revenue, with the rate determined by practice size, monthly collections volume, and service scope. For a multi-physician OB-GYN group collecting $250,000 per month, the difference between a 7% generalist billing rate and MBC’s specialty-optimized model — combined with a 97%+ NCR versus the national median of 88%–92% — translates to a net revenue gain that significantly outpaces the fee differential. Practices evaluating OB-GYN billing companies should benchmark total cost against net collections improvement, not against the lowest percentage rate available. MBC’s pricing page provides a starting point for calculating your practice’s recovery potential.
Is Your OBGYN Practice Collecting What It Is Owed?
If your practice is experiencing global OB package denials, NCCI unbundling rejections, or undetected antepartum reconciliation failures, you are incurring avoidable revenue loss on every delivery and surgical encounter. MBC’s OBGYN billing specialists deliver global-package-certified coding, antepartum reconciliation, and NCCI-compliant gynecologic surgical billing as standard services — not add-ons to a general physician practice billing model.
Request Your Free Revenue Diagnostic and identify the specific obstetric and gynecologic revenue gaps your current billing workflow is generating.
FAQs
OBGYN billing operates on a dual-track reimbursement model requiring expertise in global obstetric package codes (CPT 59400, 59510), payer-specific antepartum visit counting, split-care modifier application, high-risk pregnancy add-on billing, and NCCI-level gynecologic surgical bundling accuracy — none of which transfer from standard primary care E/M billing competency, as outlined in CMS’s Global Surgery Billing Requirements.
According to MGMA OBGYN benchmarking data and CMS Medicare Physician Fee Schedule payment indicators, top-performing practices achieve Net Collection Rates of 95%–97%, while the national median sits near 88%–92% — meaning any billing company delivering below 87% NCR is generating systematic revenue loss through global package miscoding or surgical bundling failures, not unavoidable payer behavior.
The five most common errors are: global obstetric package miscoding from inaccurate antepartum visit tracking; NCCI unbundling denials on multi-procedure gynecologic surgical encounters; split-care component billing failures in shared-call multi-physician groups; missed high-risk pregnancy add-on codes (CPT 59055); and modifier omissions on separately payable gynecologic surgical components requiring modifier 59 or XS — all categories flagged in CMS’s National Correct Coding Initiative Policy Manual.
General medical billing companies optimized for E/M-heavy physician billing consistently misapply primary care logic to obstetric global packages and gynecologic surgical encounters, producing undetected underpayments that never generate a denial — a compliance risk further underscored by OIG guidance on improper obstetric billing practices that identifies global package miscoding as a recurring audit target in women’s health billing.
CMS reimburses global obstetric care through a bundled payment combining antepartum care, delivery, and 6-week postpartum care into CPT 59400 (vaginal) or CPT 59510 (cesarean), with component-level billing required via codes 59425 or 59426 when split-care, late entry, or early delivery reduces antepartum visits below the global package threshold — rates updated per 12 months through the Medicare Physician Fee Schedule.
A Subject Matter Expert in healthcare billing operations with nearly 10 years of experience, sharing insights on claims processing, coding support, and revenue cycle optimization. Dedicated to educating healthcare professionals on compliance, accuracy, and strategies to improve billing performance.
