OB/GYN Medical Billing Services in New York
AMS Solutions provides specialized ob/gyn medical billing for practices across New York. From New York City to Buffalo and the rest of the state, our AAPC-certified billers handle the OB/GYN code set including 59400-59622 (maternity global), 76801-76817 (OB ultrasounds), 57452-58999 (GYN procedures), 99205-99215 (well-woman) and the prior authorization for non-emergent C-sections (some payers), advanced ultrasound (3D/4D), and most gynecologic surgeries that New York practices need to navigate.
New York-specific payer landscape
We work with New York Medicaid (Managed Long Term Care + Mainstream Managed Care via Healthfirst, Fidelis Care, MetroPlus, EmblemHealth, Empire BlueCross), plus all major commercial plans: Empire BlueCross BlueShield, EmblemHealth, Healthfirst, Oxford, Aetna, UnitedHealthcare, MVP, CDPHP. New York operates under National Government Services (NGS) as the Medicare Administrative Contractor. New York has the strictest no-fault auto rules in the country (30-day filing window for PIP) and Workers Comp is heavily regulated.
OB/GYN services we bill
Our ob/gyn billing team handles maternity global packages, OB ultrasound billing, gynecologic procedure coding (colposcopy, IUD, hysterectomy), and well-woman annuals. We’re particularly strong at managing the common global maternity carve-outs, ICD-10 Z34/O09/Z3A code accuracy, and 99213+59 vs 99213+25 modifier disputes.
Why New York ob/gyn practices choose AMS
- 33+ years handling Medicare billing across all 8 MAC jurisdictions including National
- 95%+ clean claim rate on first submission, vs 85-90% industry average
- 100% U.S.-based billing team — no offshoring, all PHI stays domestic
- HIPAA-compliant with full BAA, encrypted data exchange, role-based access
- AAPC-certified coders — every chart is reviewed by a CPC, COC, or CRC
Frequently asked questions
Yes — every plan listed in Managed Long Term Care + Mainstream Managed Care via Healthfirst, Fidelis Care, MetroPlus, EmblemHealth, Empire BlueCross. We verify benefits before each billing cycle.
We bill the maternity global package (59400, 59510, 59610, 59618) per payer rules — some carriers require unbundled billing, others want global. We verify which model each payer uses before each pregnancy.
Yes — we handle all OB ultrasound codes including 76801-76817 with proper Z3A trimester staging and units billing for twins or multiples. Auditors love clean documentation here.
Ready to talk? Call (214) 571-6317 or book a free 30-minute review with our team. We’ll audit a sample of your New York ob/gyn claims at no cost.