OBGYN Medical Billing Services

Global Maternity Care and Bundled Services

Global maternity packages bundle prenatal, delivery, and postpartum care into one payment. Sounds simple? It's not.

You'll encounter:

• Split billing when patients transfer providers mid-pregnancy
• Twins or C-sections requiring modifier adjustments
• Delivery complications triggering unbundling rules
• Insurance plans with varying global period definitions

We handle every scenario with precision claim scrubbing and audit-ready documentation.

Multiple Provider and Multi-Location Billing

Your patients don't consistently deliver to the same place where they receive prenatal care. They might:

• Visit your clinic for checkups
• Deliver at a hospital across town
• Need NICU services for their newborn
• Require maternal-fetal medicine consultations

Each location demands correct place-of-service coding. We track every touchpoint accurately.

Complex Payer Policies for Gynecological Procedures

Insurance reimbursement rules change constantly. What worked last quarter might fail today. Consider these headaches:

• Prior authorization requirements for IUD placement
• Medical necessity documentation for laparoscopic surgery
• Coverage limits on contraception methods
• Payer-specific coding compliance for preventive screenings

Our team monitors policy updates daily. Your claims stay compliant.

Preventive Care vs. Diagnostic Service Coding

Here's where practices bleed money. A routine cervical cancer screening becomes diagnostic when abnormalities appear. The codes—and reimbursement—change completely.

We distinguish between:

• Preventive wellness exams
• Problem-focused visits
• Screening procedures
• Diagnostic follow-ups

One wrong code triggers denials. We get it right the first time.

High-Risk Pregnancy and Specialized Treatment Billing

High-risk pregnancies involve additional monitoring, specialist consultations, and complex procedures. Billing requires:

• Accurate reproductive endocrinology coding
• Proper use of obstetric surgical modifiers
• Coordination with MFM (maternal-fetal medicine) specialists
• Documentation meeting medical necessity standards

Sparc Care has billed for every scenario imaginable. Your tough cases become our routine.