OB/GYN Billing Services in New York for Faster Reimbursements
With our OB/GYN billing team in New York, your practice can:
- Apply New York Medicaid, Medicare, and Commercial Payer Rules Accurately
- Manage Global Maternity Billing for Prenatal, Delivery, and Postpartum Care
- Complete Prior Authorizations for Complex OB/GYN Surgeries and Procedures
- AI-Agentic OB GYN Billing from Eligibility Checks to A/R Follow-ups
- Submit SPARCS-Ready Claims to Avoid Penalties and Data Submission Errors
What OB/GYN Billing Challenges Do Practices Face in New York?
OB/GYN practices in New York face several billing challenges that need precise billing expertise:
- Strict New York Medicaid Rules: NY Medicaid has unique pregnancy-related billing requirements, causing denials when codes or documentation don’t align.
- Complicated Maternity Global Package Coding: Splitting antepartum, delivery, and postpartum services incorrectly leads to high denial rates and underbilling.
- Heavy Prior Authorization Workload: Commercial and Managed Care plans in New York update PA rules often, especially for ultrasounds, surgeries, and high-risk OB care.
- 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 New York Practices With OB/GYN Billing?
Transcure delivers OB/GYN billing services in New York with state-specific compliance and specialty-focused workflows.
Real-Time Eligibility Verification
With our ELIXA AI agent, we instantly check patient eligibility for OB/ GYN surgeries and procedures. Our OB GYN billing company uses AI to prevent coverage denials.
Prior Authorization Management for OB/GYN
Our PRIA AI agent accelerates prior authorizations for OB/GYN services, including C-sections, laparoscopic hysterectomies, prenatal ultrasounds, fertility treatments, and advanced imaging.
Compliance with New York Billing Requirements
All of our NY OB GYN billing services providers follow NY Medicaid rules, surprise-billing regulations, and eMedNY formatting standards to maintain full compliance.
Global Maternity Billing Expertise
We correctly bundle prenatal, delivery, and postpartum services using global CPT codes like 59400, 59510, 59610, and 59618.
OB GYN-Specific Coding Accuracy
Using CODIN AI and certified OB/GYN coders, we accurately assign CPT, ICD-10, and HCPCS codes for procedures like ultrasounds, C-sections, hysterectomies, and minimally invasive gynecologic surgeries.
Smart Denial Prevention and Appeals
Transcure’s DEXA AI agent monitors denial patterns for OB/GYN claims, such as incorrect CPT/ICD-10 coding, missing prior authorizations, global maternity period errors, and documentation gaps.
Our Success in Numbers
In Which New York Cities Does Transcure Offer OB GYN Billing Services?
New York City
Buffalo
Rochester
View All Cities
Yonkers
Syracuse
Albany
New Rochelle
Mount Vernon
Schenectady
What Are the Potential Savings for Practices by Outsourcing NY OB GYN Billing Services?
According to Glassdoor, an OB/GYN medical billing specialist in NY typically earns around $62,000 per year. Managing OB/GYN billing in-house can therefore be expensive, with salaries, recruitment costs, and administrative overhead adding up quickly. By outsourcing to Transcure, New York practices pay only 5% of collected revenue.
For example, an OB-GYN practice generating $250,000 in annual collections would pay Transcure just $12,500 in fees, compared to approximately $62,000 for an in-house biller. This results in potential savings of over $49,500 annually.
Which New York Counties Will Benefit from Transcure’s OB GYN Billing Services?
Kings County (Brooklyn)
Queens County
New York County (Manhattan)
Suffolk County
Bronx County
Nassau County
Westchester County
Erie County
Monroe County
Which Procedures Does Transcure Handle with Their NY OB GYN Billing Services?
Transcure provides specialized OB-GYN billing support for high-volume procedures, including but not limited to:
Prenatal and Postpartum Care Billing
Our OB/GYN billing team in New York handles billing for routine prenatal visits, high-risk pregnancy management, and postpartum care. We ensure accurate CPT/ICD-10 coding, correct modifier application, and documentation required for NY payers.
Labor and Delivery Billing
Transcure manages billing for vaginal deliveries, C-sections, inductions, and assisted deliveries. We document all delivery details, maternal/fetal complications, and global maternity periods to maximize collections.
Gynecologic Surgery Billing
We handle billing for hysterectomies, laparoscopic procedures, myomectomies, and minimally invasive gynecologic surgeries. Our coders and billers in New York follow CPT, ICD-10, and HCPCS coding rules for NY payers.
Fertility and Reproductive Procedure Billing
Transcure supports billing for IVF, embryo transfer, ovulation induction, and intrauterine insemination procedures. We ensure proper coding, documentation, and prior authorizations for NY Medicaid and commercial plans.
Ultrasound and Imaging Billing
Our team manages billing for obstetric ultrasounds, fetal echocardiography, and pelvic imaging. Accurate CPT/ICD-10 coding and documentation are applied according to NY payer guidelines.
Minimally Invasive and Outpatient Procedure Billing
Transcure handles outpatient procedures such as colposcopies, endometrial biopsies, and hysteroscopies, ensuring compliance with NY-specific documentation and billing requirements.
Why Outsource New York OB GYN Billing Services to Transcure?
With so many OB GYN billing companies in New York, practices still choose Transcure for specialized expertise and state-based compliance support:
Dedicated NY OB GYN Billing Manager
Your practice is assigned a billing manager experienced in NY Medicaid rules, no-fault claims, and OB GYN specific documentation requirements.
Supports 32+ OB/GYN EHRs
Our billing team is well-versed with 32+ OB/GYN EHRs, including Athenahealth, AdvancedMD, EPIC, NextGen, and CareCloud.
Transparent Performance Reporting
OB GYN practices receive monthly reports, including AR aging and payer performance metrics, along with procedure-level revenue insights.
Experienced with Major OB/GYN Insurers
We are proficient in submitting OB/GYN claims with major insurers like Aetna, Cigna, Blue Cross Group, Medicare, and Medicaid.
Simplify Your OB GYN Billing Tasks with Transcure’s AI RCM Agents
Tired of revenue leakage due to your in-house OB GYN billing team? Transform your New York OB GYN practice with Transcure’s AI-powered billing services. Our intelligent automation handles your entire RCM.
- ELIXA instantly checks patient coverage
- PRIA speeds up prior authorizations
- CODIN ensures accurate CPT and ICD-10 coding
- CLAIR intelligently builds and scrubs claims to reduce errors
- DEXA identifies denials and helps recover lost revenue.
With Transcure handling these critical steps, your team can focus on patient care instead of paperwork.
What EHR Systems Do Transcure’s OB GYN Billing Specialists in New York Use?
We understand that switching EHR systems is stressful. That’s why our NY OB GYN billing company operates within your preferred EHR platform with precision.
Why Do New York OB GYN Practices Trust Transcure for Their Billing Needs?
Explore real experiences from practices that turned complex billing challenges into consistent revenue gains with our support.
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 much do OB/GYN billing companies in New York charge?
Most charge 4%–8% of monthly collections, depending on volume and services. Transcure charges a flat 5%, with no hidden fees.
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.
What is the global OB package?
A global OB package is a bundled payment that covers all prenatal care, delivery, and postpartum services for a pregnancy under one comprehensive fee.
Are your services HIPAA-compliant?
Yes. All our OB/GYN billing services in New York are fully HIPAA-compliant, ensuring strict protection of patient data. We also follow ISO27001 certified quality and security standards.