1. Verify Coverage for OB & GYN Services
✔ Check maternity, preventive, and surgical coverage
✔ Confirm if global OB care applies (prenatal, delivery, postpartum)
✔ Review frequency limits on annual well-woman exams and ultrasounds
2. Accurate Coding by Visit Type
✔ Use appropriate CPT codes for preventive vs. problem visits
✔ Link ICD-10 codes for pregnancy stages or gynecological conditions
✔ Apply global OB codes (e.g., 59400) for bundled maternity care
3. Track Global Billing Periods
✔ Monitor start-to-end dates for prenatal to postpartum care
✔ Separate unrelated visits from global package claims
✔ Log hospital and delivery details in patient records
4. Include Supporting Documentation
✔ Document trimester, EDD, and visit details for OB claims
✔ Record procedures like pap smears, biopsies, or ultrasounds
✔ Capture operative reports for surgeries and deliveries
5. Common Challenges & Fixes
| Challenge | Fix |
| Incorrect use of global vs. separate codes | Clarify billing rules per payer and visit type |
| Missed delivery details | Ensure labor/delivery reports are added to the chart |
| Annual exam denied | Append modifier (e.g., 25) when preventive overlaps with treatment |
| High denial rates for OB visits | Review maternity benefit coverage and document thoroughly |
