Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...
OB/GYN Billing Services
Global obstetric packages, split care, ultrasounds and gynecologic surgery make OB/GYN billing a balancing act. Specialist billers get the global and the extras paid.
- Global OB packages and split-care billing handled correctly
- Ultrasounds and high-risk services billed outside the global
- Gynecologic procedures, preventive visits and contraception coded
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How OB/GYN billing works
Routine obstetric care is usually billed as a global package that covers antepartum visits, delivery and postpartum care. The package is billed once after delivery, so practices must track each pregnancy for months and make sure the right global code is used for vaginal delivery, cesarean or VBAC.
Not everything is included in the global. Ultrasounds, non-stress tests, treatment of complications, and visits for unrelated problems can be billed separately with the right diagnosis codes. When a patient changes practices or insurance mid-pregnancy, the global must be broken into separate antepartum, delivery and postpartum codes.
Gynecology adds preventive well-woman visits, contraception, colposcopy, hysteroscopy and laparoscopic surgery. An OB/GYN billing partner tracks every pregnancy from first visit to postpartum, captures services outside the global, and handles insurance changes and Medicaid rules along the way.
Common ob/gyn billing challenges
Global package tracking
Pregnancies span months; without tracking, globals are billed late or not at all.
Split and transferred care
Patients who switch practices or insurers need the global broken into components.
Services outside the global
Ultrasounds, NSTs and complication visits are missed when bundled by mistake.
High-risk pregnancy documentation
Extra visits for high-risk conditions need diagnoses that justify separate billing.
Preventive vs. problem visits
Well-woman visits with problem care need correct coding and modifier 25.
Medicaid and eligibility changes
Pregnancy Medicaid and coverage changes require frequent eligibility checks.
What a ob/gyn billing partner should handle
- Pregnancy tracking from first visit to postpartum
- Global OB and split-care coding
- Obstetric ultrasound and NST billing
- High-risk and complication visit coding
- Well-woman, contraception and preventive services
- Gynecologic surgery and procedure coding
- Medicaid and eligibility verification
- Denial management and appeals
- Patient estimates for delivery costs
- Provider and delivery volume reporting
Key codes in ob/gyn billing
| Code(s) | What it covers |
|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery and postpartum care. |
| 59510 | Routine obstetric care including antepartum care, cesarean delivery and postpartum care. |
| 59610 | Routine obstetric care for vaginal birth after previous cesarean (VBAC). |
| 59425 / 59426 | Antepartum care only - 4–6 visits / 7 or more visits. |
| 76801 / 76805 | Obstetric ultrasound, first trimester / after first trimester. |
| 57454 | Colposcopy with biopsy and endocervical curettage. |
| 58558 | Hysteroscopy with sampling of endometrium and/or polypectomy. |
Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.
Track every pregnancy
Keep a pregnancy log with estimated delivery dates, insurance at each stage and services provided. This prevents late global billing, missed ultrasounds and errors when care is split between practices.
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How much does ob/gyn billing cost?
Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.
Most common. You pay only on money collected.
Predictable for high-volume, low-complexity claims.
Dedicated billers working inside your systems.
Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.
OB/GYN billing FAQs
Routine antepartum visits, the delivery and routine postpartum care. Ultrasounds, lab tests and treatment of complications are generally billed separately.
After delivery, using the date of delivery as the date of service for most payers.
The global is broken into separate antepartum, delivery and postpartum codes billed to the insurer responsible for each period.
Yes, problem-oriented visits for conditions outside routine care can be billed separately with the appropriate diagnosis codes.
Yes, including hysteroscopy, laparoscopy, colposcopy and related procedures with correct global periods.
Most companies charge about 4% to 8% of collections.
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