OBGYN Claims Denials causes and fixes
                     Why OB/GYN Claims Get Denied
• OB/GYN billing is highly complex.
• Small errors in dates, modifiers, or codes can 
turn a $4,500 delivery into major revenue loss.
• Denial rates are higher than most specialties.
Global OB Package Challenges
• Antepartum, delivery, and postpartum care 
are bundled.
• Unrelated conditions require modifier 24.
• Incorrect bundling leads to denials.
High-Impact Coding Errors
• • Missing modifier 24
• • Wrong antepartum visit codes
• • Missing anesthesia times
• • Weak modifier 22 documentation
Other Common Denial Triggers
• • ICD-10 trimester errors
• • Implant charges not billed
• • NCCI edits
• • Credentialing delays
• • Global period violations
How to Reduce Denials
• • EMR prompts and visit counters
• • Accurate documentation
• • Prior authorization checks
• • Regular claim audits
Final Takeaway
• Most revenue loss comes from small, 
repeated mistakes.
• Better workflows and expert billing support 
can recover lost revenue.
• Why OB/GYN Claims Are Denied