"We saw her for 14 prenatal visits, and the global paid the same as if we saw her for four."
Most OB/GYN practices that call us aren't in crisis. They're tired of watching visits, ultrasounds, and surgeries disappear into a package payment nobody on their team can itemize.
"We saw her for 14 prenatal visits, and the global paid the same as if we saw her for four."
"Transfers of care get billed as a full global or not at all. Nobody splits them correctly."
"Ultrasounds, NSTs, and 17P injections during pregnancy get denied as included in the package. They are not."
"Our gyn surgeries get bundled and our billing company just posts the denial."
"Nobody has told us what we need to change before the 2027 global codes go away."
Most billing companies treat obstetrics like any other specialty with one big code. That undercounts what your providers actually did. Every one of these has to be checked before a claim goes out.
59400, 59510, 59610, 59618 — and when to bill antepartum-only, delivery-only, or postpartum-only because the patient transferred, changed insurance, or delivered elsewhere.
Ultrasounds, non-stress tests, biophysical profiles, high-risk visits, unrelated problem visits, and injections — each separately billable, and each denied when it isn't coded right.
Prenatal, delivery, and postpartum care become separately reported services. Practices that aren't ready will see cash flow change in the first quarter.
Hysteroscopy with D&C, laparoscopy with adhesiolysis, hysterectomy with salpingo-oophorectomy. NCCI edits decide what's paid, modifiers 59/XS/22 decide what's defended.
Annual exams billed with a problem visit same-day, modifier 25, and payer-specific rules on what a preventive visit includes.
IUD/implant insertion and removal, colposcopy, LEEP, endometrial biopsy — plus the enrollment, authorization, and timely-filing rules that come with managed Medicaid.
A large multi-provider OB/GYN practice was collecting $350K–$400K a month — but bloated AR, undercoded procedures, and an overwhelmed in-house billing team were quietly capping its growth. NatRevMD took over the full revenue cycle and turned it around in under 60 days.
“NatRevMD's team has kept us afloat in trying times post-COVID when overhead became unsustainable and our billing team was not able to meet the stringent needs of private practice. They brought our AR back down to under 20% when it was much higher with our in-house team.” — Practice LeadershipSee what your practice could recover →
Full-service revenue cycle management built around how obstetrics and gynecology actually get billed.
Claims submitted within 24 hours. Every maternity case tracked from the first prenatal visit through the postpartum visit, so the global is billed correctly and services outside it aren't missed. Denial rate held under 5%.
“Included in global” denials get checked against the record and appealed when the service was separate. Surgical bundling denials get the modifier fix and a resubmission. Nothing is written off until a person has looked at it.
Global maternity payments and gyn surgeries are large enough that a payer paying below contract costs real money. We post against your contracted rates and chase the difference.
New providers, midwives, nurse practitioners, new hospital privileges, and Medicaid plans — tracked so nothing lapses mid-pregnancy.
We map how your current global volume converts to separately billed prenatal, delivery, and postpartum services, model the cash-flow change, and set up the documentation your providers will need before the rules change.
NatRevMD was founded by Dr. Heather Signorelli, a physician, with her husband. Our team reads a prenatal record the way a clinician does. When a payer says a growth ultrasound was included in the global, we know whether the indication supports the appeal before we write it. A billing company that doesn't understand the care can't defend the claim.
Most billing companies charge a percentage of collections. The rate matters less than the net: a cheaper company that lets “included in global” denials stand costs you more than one that collects the services you actually provided. We price on collections and show you the math on your own numbers during the audit.
No. We work inside the system you already use.
The bundled maternity codes are being unbundled into separately reported prenatal, delivery, and postpartum services. It changes documentation, cash flow timing, and how you compare providers. We prepare every OB client for it as part of onboarding.
Yes. We'll tell you honestly which of it is recoverable and which should be written off.
Physician ownership, a dedicated team instead of a shared queue, deep OB/GYN experience, and a communication tracker that follows every open issue until it's closed.
Bring six numbers from last month to a free 20-minute metric audit. We show you your denial rate, how much of your AR is over 90 days, and what it is worth. No system access, no patient data, no commitment.
Prefer to talk first? Book a call with our team.
