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The best OBGYN billing companies in 2026 are Medical Billers and Coders (MBC), Greenway Health RCM, Coronis Health, AdvancedMD RCM, and CareCloud. Overall, MBC ranks #1 thanks to OBGYN-certified coders, global OB package expertise, and a 97%+ net collection rate.
OBGYN billing is not general medical billing applied to reproductive health claims. Instead, it is a distinct revenue cycle discipline with two reimbursement tracks: global obstetric packages and fee-for-service gynecologic procedure billing.
Each track follows its own rules. For example, payers apply specific maternity benefits, trimester-based antepartum visit counts, and modifier-driven surgical coding. As a result, most general RCM companies are not built to handle OBGYN claims.
Key Takeaways
- OBGYN billing is specialized: Global OB packages and gynecologic surgical bundling require coders trained specifically in obstetric and gynecologic rules.
- The revenue gap is real: Average OBGYN practices collect 88%–92% of net collectible revenue, while top performers reach 95%–97%.
- The gap costs money: On $2.5M in annual billing, that difference equals $125,000–$175,000 in recoverable revenue each year.
- Evaluate on five criteria: OB package coding, GYN surgical bundling, maternity benefit tracking, OB/GYN-specific NCR, and multi-provider scalability.
- Best overall: Medical Billers and Coders (MBC) ranks #1 for multi-physician OBGYN groups with a 97%+ net collection rate.
- Judge pricing by results: Rates typically run 4%–8% of collections. Therefore, compare total cost against net collection gains, not the lowest percentage.
This is why experienced OBGYN billing companies play a critical role for obstetrics and gynecology practices. Specifically, they help maintain compliance, reduce denials, and recover the reimbursement practices already earn.
According to MGMA benchmarking data, the average OBGYN practice collects 88%–92% of its net collectible revenue. In contrast, top-performing practices consistently achieve 95%–97%.
For a practice billing $2.5M per year, that 5–7 point gap equals $125,000–$175,000 in recoverable revenue. The wrong billing company writes this off through 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
Use these five criteria to evaluate and choose the right OBGYN billing company for your practice.
- Global OB Package Coding Expertise
Certified coders trained in global obstetric codes (59400, 59510, 59610, 59618). They also need payer-specific antepartum visit counting skills. In addition, they must apply the right modifiers for split-care, early termination, and high-risk pregnancy billing.
- Gynecologic Surgical Coding and Bundling Accuracy
Systematic use of CPT bundling rules and NCCI edits for laparoscopic and hysteroscopic procedures. This includes correct modifiers for separately payable components of multi-procedure surgeries.
- Payer-Specific Maternity Benefit Management
Active tracking of commercial payer global OB benefits and trimester-specific antepartum visit allowances. Similarly, high-risk obstetric coverage policies must be tracked, since they differ across payers.
- Net Collection Rate on OB and GYN Claims
NCR benchmarked separately against MGMA OBGYN data. Otherwise, blended primary care averages can mask gaps in global package and surgical reimbursement.
- Multi-Provider Practice Scalability
Support for multi-physician OBGYN groups managing concurrent obstetric panels, OB call coverage billing, and surgical schedules. Equally important is 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 rests on three technical requirements that set OBGYN billing apart from other specialties. These are global OB package accuracy, antepartum visit reconciliation, and payer-specific maternity benefit tracking.
Global OB Package Coding and Antepartum Visit Reconciliation
Global obstetric codes bundle antepartum care, delivery, and 6-week postpartum care into one reimbursable unit. These are CPT 59400 for vaginal delivery and 59510 for cesarean. Therefore, accurate antepartum visit counts decide whether the global package or component codes (59425, 59426) apply.
MBC’s OBGYN coders are trained on payer-specific antepartum counting rules and split-care modifiers for shared obstetric care. They also apply high-risk pregnancy modifiers that unlock additional reimbursement under CPT 59055.
Why it matters: applying standard E/M logic to obstetric claims causes systematic undercoding. However, most administrators never catch it, because accepted claims carry no denial signal.
Gynecologic Surgical Bundling and NCCI Compliance
CMS NCCI edits determine which gynecologic procedures can be billed separately in multi-procedure encounters. Common examples include laparoscopic hysterectomy with adnexal surgery, hysteroscopy with cervical dilation, and endometrial ablation. Consequently, modifier 59 or XS may be needed to unbundle payable components.
MBC’s charge entry workflow reviews surgical codes against current NCCI edits before submission. As a result, it eliminates the most common category of gynecologic surgical denials at high-volume practices.
Payer-Specific Maternity Benefit Tracking
Commercial payers set different maternity benefit rules by contract. For instance, rules vary on antepartum visit limits, high-risk OB coverage tiers, and hospital versus office-based delivery billing.
MBC maintains payer-specific maternity benefit matrices and updates workflows whenever contracts renew. Consequently, it avoids the most common commercial OB denial: billing a global package where component-level billing is required.
97%+ NCR on OBGYN Claims
Consider a multi-physician OBGYN group billing $3M per year. For this group, each percentage point of NCR above the national median recovers about $30,000. Moreover, that gain compounds across every delivery, surgical case, and antepartum panel.
Best For: Multi-physician OBGYN groups, PE-backed women’s health networks, and high-volume obstetric practices with concurrent antepartum panels. It also suits gynecologic surgery practices that need NCCI-compliant multi-procedure billing.
#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. As a result, it reduces friction between prenatal scheduling, delivery documentation, and claim submission. For practices already on Greenway’s EHR, the workflow also supports antepartum visit tracking and delivery charge capture.
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 capabilities. In particular, it suits OB-GYN programs in health system-affiliated facilities already on Coronis’s platform. For them, the module covers 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 on AdvancedMD, this integration therefore reduces friction between obstetric scheduling, documentation, and claim submission.
Best For: OB-GYN practices already on AdvancedMD with in-house specialty coding staff. These practices typically 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 give operational visibility for practices with moderate gynecologic claim volumes. However, its billing infrastructure is optimized for E/M-heavy physician revenue cycles. In other words, it is not built for the global package and surgical bundling logic behind OB-GYN reimbursement.
Best For: Small GYN-focused practices with limited obstetric volume that need basic claims management and reporting dashboards. Ideally, these practices already use CareCloud and have in-house staff handling specialty code selection.
OB-GYN Billing Pricing: What Multi-Physician Practices Should Expect
OB-GYN billing pricing typically follows a percentage-of-collections model of 4% to 8% of net collected revenue. The exact rate depends on practice size, monthly collections volume, and service scope. For example, take a multi-physician OB-GYN group collecting $250,000 per month. Compare a 7% generalist rate with MBC’s specialty-optimized model and its 97%+ NCR, versus the 88%–92% national median. In that case, the net revenue gain far outpaces the fee difference. Therefore, practices should benchmark total cost against net collections improvement, not the lowest percentage rate. MBC’s pricing page provides a starting point for calculating your practice’s recovery potential.
Is Your OBGYN Practice Collecting What It Is Owed?
Are you seeing global OB package denials, NCCI unbundling rejections, or antepartum reconciliation failures? If so, your practice is losing avoidable revenue on every delivery and surgical encounter.
MBC’s OBGYN billing specialists provide global-package-certified coding, antepartum reconciliation, and NCCI-compliant gynecologic surgical billing. Importantly, these are standard services, not add-ons to a general 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 runs on a dual-track reimbursement model. First, it requires global obstetric package coding (CPT 59400, 59510) and payer-specific antepartum visit counting. In addition, it involves split-care modifiers, high-risk pregnancy add-ons, and NCCI-level surgical bundling. None of these skills transfer from standard primary care E/M billing, as CMS’s Global Surgery Billing Requirements make clear.
According to MGMA OBGYN benchmarking and CMS fee schedule data, top-performing practices achieve Net Collection Rates of 95%–97%. In comparison, the national median sits near 88%–92%. Therefore, any billing company below 87% NCR is losing revenue through global package miscoding or surgical bundling failures.
The five most common errors are global package miscoding, NCCI unbundling denials, and split-care billing failures. Similarly, missed high-risk add-on codes (CPT 59055) and missing modifier 59 or XS on surgical components complete the list. All of these are flagged in CMS’s National Correct Coding Initiative Policy Manual.
General billing companies built for E/M-heavy billing often misapply primary care logic to OB packages and GYN surgeries. As a result, they create hidden underpayments that never trigger a denial. Moreover, OIG guidance on improper obstetric billing practices identifies global package miscoding as a recurring audit target.
CMS bundles antepartum care, delivery, and 6-week postpartum care into CPT 59400 (vaginal) or CPT 59510 (cesarean). However, component codes 59425 or 59426 apply when split-care, late entry, or early delivery reduces antepartum visits. Rates are updated every year 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.
