Trusted OB/GYN Billing Services in Florida | Maximize Collections
Our OB GYN billing company in Florida helps your practice:
- AI-Powered OB GYN Billing from Eligibility Checks to A/R Follow-ups
- Rapid Pre-Authorizations for Complex OB/GYN Procedures and Surgeries
- Credentialing and Payer Enrollment Guidance for FL OB/GYN Practitioners
- 100% Compliance with Medicare, AHCA, and No Surprises Act rules
- Support for 40+ OB/GYN EHRs, including Athenahealth and EPIC
What Billing Challenges do OB/GYN Practices in Florida Commonly Face?
Florida OB/GYN providers face multiple billing challenges, including:
- Strict Florida Medicaid Billing Rules: OB/GYN services require accurate global maternity coding, modifier use, and eligibility checks to avoid denials.
- Complex Prior Authorization Requirements: High-risk pregnancies, ultrasounds, and surgical OB/GYN procedures often need timely payer approvals.
- High Documentation Scrutiny: Prenatal care, deliveries, and gynecologic surgeries demand detailed clinical documentation to pass audits
- Timely Filing and Payment Pressures: Florida Medicaid and managed care plans require claims to be submitted within 90–365 days, or risk denials and delayed reimbursements.
How Transcure Supports Florida Providers With Expert OB/ GYN Billing Services?
Our OB GYN billing company in Florida helps practices overcome every revenue cycle management challenge. We provide the following comprehensive billing services to Florida OB/GYN clinics:
Insurance Verification & Prior Authorization
With our Florida 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 Florida monitor AR aging and provide billing reports to analyze your practice’s collection rates, denial patterns, and A/R days.
Payer-Specific Rule Adherence
We follow Medicare LCDs and commercial payer policies for gynecology procedures to ensure clean claims and audit readiness.
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 Florida Does Transcure Serve with Their OB GYN Billing Services?
Jacksonville, Florida
Miami, Florida
Tampa, Florida
View All Cities
Orlando, Florida
St. Petersburg, Florida
Port St. Lucie, Florida
Cape Coral, Florida
Hialeah, Florida
Tallahassee, Florida
Fort Lauderdale, Florida
How Much Can Florida Practices Save with Transcure’s OB/GYN Billing Services?
According to Salary.com, the average medical billing specialist in Florida earns about $41,403 per year, depending on experience and location within the state. By outsourcing your OB/GYN billing to Transcure, your practice only pays 5% of the revenue collected. With this pricing model, your practice can eliminate fixed salaries, recruitment costs, benefits, and administrative overhead.
For an OB/GYN practice generating $500,000 annually, outsourcing billing to Transcure would cost $25,000. Compared to the typical in-house salary of $41,403, your practice could save approximately $16,403 per year in direct staffing costs alone.
Which Florida Counties are Served by Transcure for OB/GN Billing Solutions?
Miami-Dade County
Broward County
Palm Beach County
Orange County
Hillsborough County
Pinellas County
What OB/GYN Procedures Does Transcure Handle with Their Florida 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 (C-Section) 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 Should You Outsource Florida OB/GYN Billing Services to Transcure?
With countless OB/GYN billing companies in Florida, Transcure helps your practice gain:
Dedicated Florida OB/GYN Billing Manager
You’ll be assigned a billing manager experienced in AHCA rules, No Surprises Act compliance, and Florida-specific OB/GYN documentation requirements.
Experienced with Major CA OB/GYN Insurers
Our billing team is proficient in submitting OB/GYN claims with major Florida insurers, including Blue Shield, Cigna, UnitedHealthcare, and Medi-Cal.
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 receive free credentialing and payer enrollment services with no additional fees.
Global Package & Modifier Compliance
We manage global OB-GYN codes (59400) and apply modifiers -24, -25, -51 correctly to prevent denials and underpayment.
How to Stay Compliant with the Latest Global Maternity Billing Rules in Florida?
Transcure ensures your OB/GYN billing complies with current Florida coding and payer requirements so claims are paid accurately and on time.
Important Regulatory Updates You Should Know:
- Florida Blue’s obstetric payment policy uses global OB codes (59400, 59510, 59610, 59618) to cover antepartum, delivery, and postpartum care when all services are provided by the same provider group.
- Some Florida payer and Medicaid plans require prenatal care billed separately from delivery and postpartum if components aren’t all provided by the same provider.
- Practices must use the appropriate antepartum codes (e.g., 59425/59426) when care is delivered without delivery to stay compliant and avoid denials.
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 Transcure Supports Florida 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)
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.
How do global maternity fees work in Florida?
In Florida, global maternity fees cover all routine prenatal visits, labor and delivery, and postpartum care under a single bundled payment. Providers must correctly code and document each service to avoid claim denials,
How do Florida insurance rules affect OB GYN claims filing deadlines?
Florida Medicaid and commercial insurers enforce strict timely filing rules, generally requiring claims to be submitted within 90–365 days from the date of service. Missing these deadlines can result in automatic denials or delayed reimbursements.
Are your coders certified and U.S.-based?
Yes. Our team includes certified AAPC and AHIMA professionals, all based in the U.S., with over 23 years of gynecology coding experience.