Specialty

Women’s Health

Specialty-specific RCM for women's health practices

Women’s health billing covers one of the broadest scopes in medicine, from preventive and well-woman care through obstetrics, gynecologic surgery, infertility, and menopause management. Global obstetric billing, the distinction between routine and problem-oriented visits, and the procedural variety of gynecology all combine into a revenue cycle that requires specialty fluency. At Encompass Health Solutions, we help OB/GYN practices and women’s health providers manage the full scope of this work.

What These Practices Face

OB/GYN billing has a unique structure with global obstetric packages that span months of care, well-woman visits that frequently include problem-oriented components, and a wide range of procedural work from in-office procedures to major gynecologic surgery. Global obstetric billing alone requires careful tracking of antepartum visits, delivery, and postpartum care across what is often a year-long episode. Problem visits during pregnancy that fall outside the global package have to be identified and billed correctly. And the procedural side of gynecology brings its own bundling and modifier complexity.

We commonly see practices struggle with
  • Global obstetric package tracking errors leading to underbilling or compliance risk
  • Problem-oriented visits during pregnancy being bundled into global packages incorrectly
  • Well-woman visits where a problem component should have been billed separately
  • LARC insertion and removal billing errors
  • Bundling denials on same-day procedures
  • Slow follow-up on surgical claim denials

Where We Bring Specialty Depth

Obstetrics

OB practices benefit from systematic global package tracking, accurate identification of services that fall outside the package, and clean handling of antepartum visit counts when patients transfer in or out of practice. We help manage the year-long revenue arc of obstetric care.

Gynecology and Well-Woman Care

GYN practices benefit from accurate split-visit billing when well-woman and problem-oriented care happen in the same visit, clean coding on in-office procedures, and systematic follow-up on the routine denials that come with this specialty.

Gynecologic Surgery

Surgical OB/GYN work involves bundling rules, modifier requirements, and the global periods that affect post-op billing. We help with surgical coding accuracy and the modifier choices that keep surgical claims clean.

Infertility and Reproductive Endocrinology

Infertility practices face a complex insurance environment where some payers cover certain services and others don't, with substantial patient-pay components in most cases. We help ensure claims are billed accurately and reimbursement is managed consistently, so patient financial counseling can stay clear and accurate.

What Working With Encompass Looks Like

Global obstetric package tracking and billing
Split-visit billing for well-woman with problem components
In-office procedure coding including LARC, colposcopy, endometrial biopsy, and others
Surgical coding review with attention to bundling and modifiers
Denial management and appeals
Patient billing and collection workflows
Monthly reporting on per-encounter revenue, OB package accuracy, and denial trends

Why Encompass for Women’s Health RCM

OB/GYN practices need a billing partner that handles the structural complexity of this specialty. Global obstetric billing requires its own tracking discipline. Split visits require accurate documentation and modifier use. Surgical work requires the bundling and modifier fluency that protects high-dollar claims. We work with women’s health practices because we understand the full revenue arc of OB/GYN care, from a first prenatal visit through delivery and postpartum, from a well-woman exam through a gynecologic surgery, from infertility evaluation through complex treatment. Whether you’re an OB-heavy practice trying to clean up global package tracking or a surgical GYN group managing high-dollar procedural billing, we bring the specialty depth this work requires.

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