Top-Rated OB/GYN Billing Services For California Practices
Our OB GYN billing company in California helps your practice:
- Complete OB GYN billing from Eligibility Checks to A/R Follow-ups
- Credentialing and Payer Enrollment Guidance for CA OB/GYN Practitioners
- Support for 40+ OB/GYN EHRs, including Athenahealth and EPIC
- 100% Compliance with Medicare guidelines, DMHC, and Medi-Cal policies
- Rapid Pre-Authorizations for Complex OB/GYN Procedures and Surgeries
What Billing Challenges do OB/GYN Practices in California Commonly Face?
California OB/GYN providers face billing challenges, including:
- Medi-Cal Policy Variations: Frequent updates in Medi-Cal coverage and documentation rules make accurate billing difficult for OB/GYN services.
- Global Maternity Billing Complexity: Applying California-specific global maternity package rules often leads to coding errors and reimbursement delays.
- Strict Prior Authorization Requirements: Procedures like hysterectomy, myomectomy, and advanced imaging require strict authorizations that vary across Medi-Cal managed care plans.
- Surprise-Bill Compliance: Ensuring patients are not balance-billed for out-of-network hospital or anesthesiology services under the No Surprises Act.
How Transcure Supports California Providers With Expert OB/GYN Billing Services?
Our OB GYN billing company in California helps practices overcome every revenue cycle management challenge. We provide the following comprehensive services to California OB/GYN clinics:
Insurance Verification & Prior Authorization
With our California OB/GYN billing services, we verify patient coverage in real time and secure authorizations for high-risk pregnancies, deliveries, and surgeries.
OB/GYN Specific Coding & Charge Capture
Our 1,100+ AAPC OB/GYN coders apply CPT, ICD-10, and modifier coding accurately for OB/GYN procedures, such as 59400 and 59510, to prevent underbilling.
Claim Submission & Denial Management
We submit 99.99% clean claims, resolve disputes, and handle appeals for OB/GYN procedures flagged for medical necessity reviews.
AR Follow Up & Financial Reporting
Our OB GYN billing experts in California monitor AR aging and provide billing reports to analyze your practice’s collection rates, denial patterns, and A/R days.
California Regulatory Compliance
Our billing workflows adhere to the No Surprises Act, NCCI Edits, Cal. Code Regs. Tit. 8 § 9792.5.2, Tit. 22 § 51502, and HIPAA standards.
Global Maternity Package Management
We correctly apply global maternity packages for prenatal, delivery, and postpartum that help avoid misbilling and potential revenue loss.
Our Success in Numbers
Which Cities in California Does Transcure Serve with Their OB/ GYN Billing Services?
Los Angeles, California
San Diego, California
San Jose, California
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San Fransisco, California
Fresno, California
Sacramento, California
Long Beach, California
Bakersfield, California
Oakland, California
How Outsourcing OB/GYN Billing to Transcure Benefits California Practices Financially?
According to Glassdoor, a California OB/GYN medical billing specialist typically earns around $55,000 annually. Managing OB/GYN billing in-house can therefore be expensive, with salaries, recruitment costs, and administrative overhead adding up quickly. By outsourcing to Transcure, California practices pay only 5% of collected revenue.
For example, a practice generating $250,000 in annual collections would pay Transcure just $12,500 in fees, compared to approximately $55,000 for an in-house biller. This results in potential savings of over $42,500 annually.
Which California Counties Are Served by Transcure for OB/GYN Billing Solutions?
Los Angeles County
San Diego County
Orange County
Riverside County
San Bernardino County
Santa Clara County
Which OB/GYN Procedures Are Covered by Transcure’s Billing Services?
OB/GYN clinics deal with patients coming for different procedures, having complex CPT and ICD codes. Transcure covers all essential OB/GYN procedures to help reduce claim denials and maximize revenue, including:
Vaginal Delivery Billing
We manage CPT coding for prenatal care, labor, delivery, and postpartum services to ensure accurate documentation for full reimbursement
Cesarean Delivery Billing
Our billing experts handle coding for surgical deliveries, including pre- and postnatal care, with proper modifiers to prevent claim denials.
Hysterectomy Billing
Transcure’s OB/GYN billing team codes total, laparoscopic, and vaginal hysterectomies, including pre-op, surgical, and post-op documentation for maximum collections.
LEEP / Conization Billing
We handle the complete LEEP billing process, including diagnosis coding (ICD-10), CPT selection (57522), and modifier application with thorough documentation.
Dilation & Curettage (D&C) Billing
Our billing specialists handle coding for miscarriage management and other D&C procedures, ensuring proper documentation and claim submission for complete payment.
Obstetric Ultrasound Billing
Transcure supports billing for routine and high-risk pregnancy ultrasounds, including imaging guidance and documentation required for payer compliance and full reimbursement.
Why Choose Transcure For Outsourcing Gynecology Billing Services in California?
With many billing companies available, Transcure stands out due to its strong California OB/GYN billing and coding expertise. Here’s what you gain by partnering with us:
Experienced with Major CA OB/GYN Insurers
Our billing team is proficient in submitting OB/GYN claims with major California insurers, including Blue Shield, Cigna, UnitedHealthcare, and Medi-Cal.
Compliance with HIPAA Regulations
Transcure strictly follows HIPAA rules to protect your patients’ health data throughout the billing cycle.
AI-Powered OB GYN Billing Services
We use advanced AI agents to automate billing processes, resulting in a 30% reduction in AR and 99.99% clean claim accuracy.
Complimentary Credentialing Services
With our RCM package, you get free credentialing and payer enrollment services without any additional fees.
Specialty Procedure Billing Expertise
Transcure specializes in billing multiple procedures, including Maternal-Fetal Medicine, Gynecologic Oncology, and advanced laparoscopic surgeries.
How Transcure Maximizes Revenue With AI-Powered OB/GYN Billing?
At Transcure, we use specialized AI agents to automate every step of the RCM process, from pre-authorization to accurate coding and claim submission. This automation achieves 99.99% clean claim accuracy and reduces claim errors to less than 1%.
Our partnered OB/GYN practices experience up to a 20% revenue boost while reducing manual effort by as much as 70%. Moreover, predictive analytics help predict revenue trends, identify denial spikes, and monitor coding accuracy, enabling practices to take proactive financial decisions.
Which OB/GYN EHR Platforms Does Transcure Work With?
Our team is trained in all major OB/GYN EHR platforms, so you never have to switch systems or disrupt your workflow. Here are the OB/GYN EHR systems we support:
How Transucre Supports California OB GYN Practices With Medical Billing Services?
Read our partners’ success stories to see how Transcure’s OB/GYN billing services drive financial growth and efficiency.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
How long can a doctor wait to bill you in California?
In California, doctors generally have 12 months to submit claims for commercial insurance and Medicare, 6 months for Medi-Cal, and up to 12 months or 5 years for Workers’ Compensation. Late submissions without a valid justification are usually denied.
Are newborn baby charges included in the delivery bill?
No, baby’s charges, including pediatrician visits and NICU care, are usually billed separately and may have their own deductible.
Does Transcure handle both in-network and out-of-network OB/GYN billing for California practices?
Yes, Transcure handles both in‑network and out‑of‑network OB/GYN billing for California practices. Our team ensures accurate claim submission, proper coding, and compliance with all state and federal regulations, including AB72 and Medi‑Cal rules.