Running an obstetrics and gynecology practice means juggling global maternity packages, high-volume gynecological procedures, and payer rules that shift constantly. ProMantra’s obgyn medical billing services give women’s health practices a dedicated revenue cycle partner that understands this complexity inside and out. We combine 23+ years of billing experience with a team trained specifically in obstetric and gynecologic reimbursement, so your practice collects what it has earned without the administrative drag. For more than two decades, ProMantra has helped obstetrics and gynecology practices of every size stabilize and grow their revenue cycle. Our obgyn medical billing services are trusted by more than 500 practices nationwide, from solo gynecology offices to multi-location maternal-fetal medicine groups. That scale gives us a claims database and payer-behavior insight that a smaller or generalist vendor simply cannot match, which is why practices come to us when their in-house billing team or previous vendor cannot keep pace with denials.
Women’s health billing is not interchangeable with general medical billing. Global maternity care packages, antepartum visit bundling, ultrasound frequency limits, and surgical bundling edits require billers who live in this specialty every day. Our coders hold certifications specific to obstetrics and gynecology and are trained continuously as payer policy evolves, which is why our team consistently outperforms generalist billing companies on first-pass acceptance and denial rate. Practices that switch to ProMantra typically see a measurable improvement in collections within their first billing cycle.
Founded, Over 23 years of dedicated OBGYN revenue cycle experience
All coding staff hold active professional certifications in obstetrics and gynecology coding
Practices Served OBGYN practices of every size nationwide
Denial Rate Consistently outperforming the industry average of 8–12%
Fully encrypted, and secure at every touchpoint
OBGYN billing is not a one-size-fits-all discipline. Each category of women’s health care carries unique coding requirements, modifier dependencies, payer-specific rules, and documentation standards. ProMantra’s coders are rigorously trained across every category of obstetric and gynecologic care to ensure accurate code selection and maximum reimbursement every time a claim goes out the door.
Our coding team stays current with annual CPT and ICD-10 updates, CMS OBGYN billing guidelines, and payer-specific LCD and NCD policies, so your claims are coded correctly the first time, every time.
Every women’s health practice has different needs depending on whether it focuses on obstetrics, gynecologic surgery, or a blended patient panel. Our obgyn medical billing services are built as a complete, end-to-end revenue cycle solution so nothing falls through the cracks between the front desk and the final payment.
We confirm maternity and gynecologic coverage, prior authorization requirements, and patient responsibility before the visit, reducing denials tied to coverage issues.
Our team handles authorization requests for surgical procedures, advanced imaging, and specialty referrals so care is never delayed by paperwork.
Certified coders translate provider documentation into accurate, compliant claims for both global maternity packages and individually billed procedures.
We capture every billable service, visit, and procedure so revenue is never left uncollected due to missed charges.
Clean claims are submitted within 24 hours of charge entry, keeping your accounts receivable cycle short and predictable.
Every insurance and patient payment is posted and reconciled promptly, giving your practice an accurate, real-time financial picture.
Our specialists identify denial root causes, file timely appeals, and correct upstream errors so the same denial does not recur.
We work aging claims proactively, following up with payers before balances become uncollectible.
Clear, accurate patient statements and responsive billing support improve patient satisfaction and speed up self-pay collections.
We manage payer enrollment and re-credentialing for OBGYN providers so reimbursement is never interrupted by an administrative lapse.
Women’s health practices lose significant revenue every year to bundling errors, missed authorizations, and maternity billing timing mistakes. These issues often go unnoticed until a payer audit or a denial trend surfaces, by which point thousands of dollars may already be unrecoverable. Our OBGYN billing and coding team is designed to catch and correct these leaks before they affect your bottom line.
Billing antepartum visits, delivery, and postpartum care as a single global package requires precise tracking of visit counts and timing. Errors here are one of the most common sources of underpayment in obstetric billing, and we monitor every pregnancy episode closely to prevent them.
Gynecologic surgery claims are frequently denied or underpaid due to incorrect bundling of related procedures performed in the same session. Our coders apply payer-specific bundling logic so surgical claims reflect the full scope of work performed.
Surgical procedures, advanced imaging, and infertility treatments often require prior authorization that, if missed, results in outright denial. We manage this process proactively so authorizations are secured before the date of service.
Payers strictly limit how many prenatal ultrasounds and monitoring visits are reimbursable within a pregnancy episode. We track these limits closely and document medical necessity for any additional imaging required.
A lapse in payer credentialing can silently block reimbursement for weeks. We monitor enrollment status across all payers so your OBGYN providers remain in-network and reimbursable without interruption.
Without dedicated follow-up, aging claims quietly slip past timely filing deadlines. Our team works your accounts receivable aggressively, keeping days in AR low and denial rates well under industry averages.
ProMantra follows a structured, eight-step revenue cycle process for every OBGYN billing and coding client, ensuring consistency and transparency at every stage.
We confirm demographic accuracy and insurance eligibility before every scheduled visit.
We secure authorizations for surgical, diagnostic, and specialty services in advance of care.
Our coders review provider notes for completeness and compliance before coding begins.
Certified specialty coders assign accurate codes for global and itemized services alike.
Claims are scrubbed against payer edits and submitted electronically within 24 hours.
Remittances are posted promptly and reconciled against expected reimbursement.
Denied claims are analyzed, corrected, and appealed within payer-specific timelines.
Practices receive regular reporting on collections, denials, and revenue trends.
Discover how much revenue you’re leaving on the table. Our experts will analyze your current billing performance and provide a detailed improvement plan at no cost.
OBGYN coding errors are among the leading causes of denied and underpaid claims in women’s health billing. Even minor mistakes a missed global maternity component, an incorrect surgical bundling modifier, or incomplete ultrasound frequency documentation can result in thousands of dollars in lost reimbursement per claim. ProMantra’s coders are obstetrics and gynecology billing specialists, not generalists who happen to occasionally bill women’s health procedures.
Our team holds specialty certifications specific to obstetrics and gynecology, not general practice credentials
We correctly track antepartum, delivery, and postpartum components within global billing rules
Our coders apply correct bundling and modifier logic for gynecologic surgical claims
We stay current on maternity and gynecologic policy differences across commercial and government payers
We document medical necessity correctly to support imaging frequency beyond standard limits
Our coders handle the nuanced billing rules surrounding fertility treatment and reproductive technology
Our coding team completes ongoing education as coding standards and payer guidelines evolve
We maintain coding practices that hold up under payer audits and compliance reviews
At ProMantra, we don't ask you to take our word for it, we show you the numbers. Here is what OBGYN practices consistently experience when they move their billing to ProMantra:
98%
First-pass Clean Claim Rate : Compared to the industry average of 75–85%
30%
Average Revenue Increase for New Clients within the First Year
<24 Hrs
Claim Submission Turnaround Time : From charge entry to clean claim
<35 Days
Average Days in AR : Compared to the Industry average of 50–60 days
<2%
Overall Denial Rate : Compared to the OBGYN industry average of 8–12%
97%
First-level Appeal Success Rate
500+
Practices Served Nationwide
$2B+
In Healthcare Revenue Managed Annually Across All Specialties
These numbers are not projections, they are averages drawn from active client results. When you choose ProMantra as your OBGYN billing partner, you are choosing a company that has consistently delivered measurable, documented results for practices just like yours across every region of the United States.
Cut Our Denial Rate in Half Within Three Months Our previous billing vendor did not understand global maternity billing at all, and we were losing money on nearly every delivery claim. ProMantra's obgyn medical billing services team fixed our antepartum tracking process almost immediately, and our denial rate dropped by more than half within the first quarter.
Finally, a Billing Partner That Understands Gynecologic Surgery Surgical bundling errors were costing our practice thousands every month before we switched. ProMantra's coders caught issues our old vendor never flagged, and our surgical claim reimbursement improved noticeably within weeks.
Our Revenue Grew Without Adding Staff We were hesitant to outsource, but ProMantra's obgyn medical billing services let us grow patient volume without expanding our billing department. Collections are up and our staff finally has time to focus on patients instead of paperwork.
See how we’ve helped healthcare organizations like yours achieve measurable revenue growth
Multi-Specialty Hospital
Surgery Centre
Surgical Centre with Lab Services
Our certifications and compliance standards ensure your revenue cycle operations meet the highest industry benchmarks for security, accuracy, and regulatory adherence.
ProMantra’s specialty billing and coding team supports a wide range of women’s health providers across the country. Our billing solutions are tailored to the specific workflows, payer relationships, and financial goals of each client because no two OBGYN practices are exactly alike.
Making the decision to outsource your OBGYN billing is a significant step and we understand that uncertainty about the transition process is one of the biggest barriers practices face. That is why ProMantra has built a seamless, structured onboarding experience that gets your billing running smoothly from Day 1. Here is exactly what to expect:
We start with a thorough practice assessment which includes reviewing your current billing workflows, payer mix, fee schedules, coding history, and EHR or practice management system. Our integration team connects with your existing technology environment, and a dedicated account manager is assigned to your practice immediately.
Your billing team is fully configured. We establish escalation protocols, reporting schedules, authorization workflows, and coding preferences specific to your practice. You receive direct contact information for your account manager and can reach them by phone or email during business hours.
Your claims are live. Our team is submitting charges, posting payments, and managing denials with complete transparency through your real-time client portal. You will see exactly what has been submitted, what has been paid, and what is in follow-up at any moment.
We analyze early data to identify coding gaps, undercoding patterns, payer trends, and denial root causes. Adjustments are made proactively to optimize your clean claim rate and collections, not reactively after problems compound.
Quarterly business reviews, continuous compliance monitoring, payer policy updates, annual CPT and ICD-10 training, and dedicated support ensure your revenue cycle stays optimized year after year. There are no surprises, no hidden fees, and no long-term lock-in contracts.
A detailed 90-day review with your account manager highlights the improvements in revenue, AR days, denial rates, and collections efficiency. Most ProMantra clients report a 20–30% improvement in net collections by this milestone.
Outsourcing your revenue cycle is not an admission that your practice cannot manage billing internally; it is a strategic decision to put obstetric and gynecologic reimbursement in the hands of specialists who focus on nothing else. Practices that partner with ProMantra’s obgyn medical billing services free up front-desk and clinical staff time, reduce the cost of maintaining an in-house billing department, and gain access to specialty expertise that would be expensive to build internally.
The financial case for outsourcing becomes clear within the first few billing cycles. Denial rates fall, accounts receivable ages shrink, and practices gain visibility into revenue trends through regular reporting rather than reactive firefighting.
Most practices complete onboarding and begin submitting claims through our team within two to three weeks.
No, you retain full access to reporting dashboards and can request detailed performance reviews at any time.
Yes, our billing workflow integrates with most major practice management and EHR platforms.
We coordinate a clean handoff, including working existing accounts receivable so nothing is dropped during transition.
Practices that make the switch typically see three consistent outcomes: a measurable increase in monthly collections, a meaningful reduction in denial rates, and significantly less administrative burden on clinical and front-office staff.
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OBGYN medical billing services cover the full revenue cycle for obstetrics and gynecology practices, including eligibility verification, coding, claims submission, payment posting, denial management, and accounts receivable follow-up. Because obstetric and gynecologic billing involves global maternity packages, surgical bundling, and specialty-specific payer rules, these services require coders and billers trained specifically in women's health rather than general medical billing. ProMantra's obgyn medical billing services are built around this specialty focus from the ground up. The goal is to make sure every service a practice provides is documented, coded, and reimbursed accurately.
Global maternity billing bundles antepartum care, delivery, and postpartum visits into a single package rather than billing each visit individually. This requires careful tracking of visit counts, timing, and any services that fall outside the global period so nothing is missed or double billed. Our obgyn medical billing services monitor every pregnancy episode from the first prenatal visit through the postpartum checkup. This level of tracking is one of the most common gaps we find when practices switch from a generalist billing vendor.
General medical billers are rarely trained on the nuances of maternity bundling, gynecologic surgical bundling, or infertility treatment billing rules. These nuances directly affect reimbursement, and a missed detail can mean thousands of dollars in lost revenue over a year. Our obgyn medical billing services are staffed by coders who specialize exclusively in obstetrics and gynecology. That focus consistently produces higher first-pass acceptance rates than generalist billing arrangements.
We reduce denials through upfront eligibility verification, proactive prior authorization management, and specialty coding accuracy that prevents common bundling and documentation errors before claims are ever submitted. When denials do occur, our team investigates the root cause rather than simply resubmitting, so the same issue does not repeat. This approach has helped bring client denial rates under 2 percent on average. Our obgyn medical billing services are structured around prevention first, correction second.
Our coding team holds certifications specific to obstetrics and gynecology and stays current on payer policy changes affecting maternity, surgical, and infertility billing. This includes global package tracking, surgical bundling and modifier logic, ultrasound frequency documentation, and reproductive technology billing rules. Every coder working on your account specializes in women's health rather than rotating across unrelated specialties. This depth of expertise is central to how our OBGYN billing and coding team operates.
Most practices complete the transition and begin submitting claims through our team within two to three weeks of signing on. During onboarding, we review your current accounts receivable, verify payer credentialing status, and configure our workflow around your existing practice management system. We also coordinate directly with any outgoing vendor to ensure a clean handoff of in-progress claims. Our obgyn medical billing services are designed to make this transition as low-disruption as possible for your staff.
Yes, our team is trained across the full scope of women's health billing, including obstetric global packages, gynecologic surgical procedures, infertility treatment, and preventive well-woman care. Many OBGYN practices provide a mix of these services, and our coders are equipped to handle that variety within a single account. This breadth means practices do not need separate vendors for different service lines. It is one of the reasons our obgyn medical billing services scale well for multi-provider groups.
ProMantra maintains HIPAA compliance and holds ISO 27001 certification, reflecting formal, audited standards for information security management. All patient data is handled under strict access controls, encrypted transmission protocols, and regular internal compliance reviews. Our team is built to protect sensitive obstetric and gynecologic patient information at every stage of the revenue cycle. Practices can rely on this framework whether they operate a single office or multiple locations.
Clients receive regular reporting covering collections, denial trends, accounts receivable aging, and overall revenue cycle performance. These reports are reviewed with your practice on a recurring basis so you always have visibility into how your billing is performing. Rather than losing insight into your revenue cycle by outsourcing, most practices gain more visibility than they had managing billing internally. This transparency is a standard part of how our OBGYN revenue cycle team operates.
While results vary by practice size and prior billing performance, new clients report an average revenue increase of around 30 percent after switching to ProMantra. Savings come from a combination of higher first-pass claim acceptance, faster accounts receivable recovery, and reduced overhead from maintaining an in-house billing staff. Because pricing is typically structured as a percentage of collections, our incentives are directly aligned with maximizing your reimbursement. Practices considering our obgyn medical billing services can request a custom revenue analysis before committing.
Not sure whether your current billing process is leaving revenue on the table? You are probably right to wonder. ProMantra offers a complimentary, no-obligation OBGYN billing assessment that gives you a clear, honest picture of your practice’s revenue cycle performance and exactly what we can do to improve it.
Your free assessment includes:
There is no obligation and no sales pressure. If you decide ProMantra is not the right fit, you walk away with a free, expert analysis of your revenue cycle and actionable recommendations. If you do choose to partner with us, you start from a position of complete clarity about where your revenue is going and how much we can recover.
