600 deliveries a year. Are you billing every one of them correctly?
Global OB packages that get split incorrectly, IUD device codes billed without the insertion, and a Medicaid mix that quietly drags down the whole P&L. A free 15-minute assessment tells you how much each of these is costing you.
15 minutes. Custom financial scorecard for your practice.
At a glance
Is This Right for You?
This is for OB-GYN practice owners who:
Want ongoing financial oversight? Our Fractional CFO service for OB-GYN practices may be a better fit.
What We Analyze
Where OB-GYN Practices Lose Revenue
We trace every dollar from claim submission to bank deposit in your OB-GYN practice.
Global OB Billing Compliance
- •Global fee split coding accuracy (antepartum/delivery/postpartum)
- •Unbundled antepartum visit billing for transfers and high-risk
- •Delivery coding accuracy (vaginal, C-section, VBAC, complications)
- •Postpartum visit billing and timing compliance
GYN Procedure Coding
- •Colposcopy and biopsy coding accuracy
- •IUD and implant insertion/removal billing (device + procedure)
- •LEEP and endometrial biopsy charge capture
- •E/M coding with same-day procedure billing
Ultrasound & Imaging Billing
- •OB ultrasound coding by trimester and indication
- •Documentation requirements for ultrasound medical necessity
- •GYN ultrasound (pelvic, transvaginal) charge capture
- •Billing for physician interpretation vs technical component
Payer-Specific Billing Processes
- •Medicaid-specific documentation and billing requirements
- •Commercial payer global OB fee variations
- •Prior authorization tracking for procedures and devices
- •High-risk OB billing and additional reimbursement capture
Results
What OB-GYN Practices Recover
| Finding | Typical Outcome |
|---|---|
| Revenue recognition fix | Stable monthly P&Ls enabling $295K in previously deferred investment decisions |
| In-office procedure capture | $72,000 annual revenue recovered from charge capture corrections |
| Payer strategy | Medicaid volume capped and commercial patient recruitment increased, improving average revenue per visit by 8% |
Case Study
Real results from a practice like yours
4-physician OB-GYN practice, two locations, delivering 600 babies per year. Revenue was $3.8M but profit had dropped from 22% to 13% over four years. The physicians blamed declining reimbursements and rising malpractice costs, but the root causes were more varied.
What we found:
- •Global OB revenue recognition was causing monthly P&L swings of $80K to $120K. The accounting methodology had never been updated for the practice's volume, making financial reporting unreliable for management decisions
- •Malpractice costs were $520K annually ($130K per physician) but OB services contributed only 38% of revenue. The GYN side was effectively subsidizing OB's liability costs without any visibility
- •In-office GYN procedures (IUD insertions, colposcopies, biopsies) were performed 1,400 times per year but charges were missed on 18% of procedures. That is $72K in lost annual revenue
- •Medicaid patients (27% of volume) were generating a negative margin after fully loaded costs. The practice was losing $14 per Medicaid visit but had never calculated this
The results
Stable monthly P&Ls enabling $295K in previously deferred investment decisions
Revenue recognition fix
$72,000 annual revenue recovered from charge capture corrections
In-office procedure capture
Medicaid volume capped and commercial patient recruitment increased, improving average revenue per visit by 8%
Payer strategy
“We had no idea our Medicaid patients were costing us money. Not breaking even — actually losing money on every visit. That changed how we think about our schedule.”
— Managing Partner, Southeast
Common Questions About Revenue Cycle Analysis for OB-GYN Practices
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