OB/GYN medical billing services in New York
AMS Solutions supports New York obstetrics and gynecology practices with billing and revenue-cycle workflows for prenatal care, delivery, postpartum care, ultrasound, office procedures, surgery, preventive visits, authorization follow-up, denials, and aging A/R. We build the workflow around each practice’s service mix, locations, contracts, and documentation.
Explore our broader OB/GYN medical billing services or AMS’s full medical billing and revenue-cycle support.
New York Medicaid and Medicare billing considerations
New York’s Medicaid managed-care environment includes multiple plan types and service areas. Plan availability, participation, and requirements can change, so AMS uses the practice’s current contracts and the New York State Department of Health managed-care plan directory as starting points for eligibility, enrollment, authorization, and claim-routing work.
New York is in Medicare Administrative Contractor Jurisdiction K. The CMS Jurisdiction K directory identifies National Government Services as the A/B MAC. Our team checks the current payer and Medicare guidance that applies to the service and date of care instead of relying on static policy summaries.
OB/GYN billing workflows we support
- Global maternity, antepartum, delivery, and postpartum billing workflows
- Obstetric and gynecologic ultrasound charge and claim review
- Preventive, problem-oriented, and procedure coding support
- Office procedures, contraception-related services, and gynecologic surgery claims
- Eligibility, authorization, claim-status, rejection, denial, appeal, and payment-posting work queues
- Follow-up for aging A/R and recurring payer or documentation patterns
Global maternity and payer-rule review
Maternity billing depends on the payer contract, services furnished, provider participation, patient movement between practices, and the timing of care. AMS reviews whether services belong in a global package or require separate reporting, and routes exceptions for documentation and payer-rule review before submission.
Modifier, ultrasound, multiple-gestation, and diagnosis reporting are evaluated against the current record and payer requirements. No code, modifier, or payment outcome is assumed solely from the page’s examples.
Why New York OB/GYN practices consider AMS
- Medical billing experience serving practices since 1992
- U.S.-based billing operations and documented workflow ownership
- HIPAA-aligned processes and a business associate agreement for covered services
- Specialty-aware support for maternity, ultrasound, procedure, denial, and A/R workflows
- Reporting that helps leaders see open work, payer patterns, and follow-up priorities
Frequently asked questions
AMS builds workflows around the plans with which the practice is contracted. Eligibility, authorization, enrollment, and claim requirements are verified by plan, product, service area, and date of care; practices should confirm current participation in the state directory and their payer contracts.
We review the services furnished, timing of care, providers involved, patient transfers, payer contract, and current billing rules before determining whether a global or itemized workflow applies. Exceptions are routed for documentation and payer-specific review.
We identify the denial reason, review eligibility, authorization, coding, documentation, bundling, and submission history, then route the claim for correction, resubmission, appeal, or other appropriate follow-up. Recurring causes are tracked for upstream improvement.
Request a New York OB/GYN billing review
Start with a no-obligation review of recent A/R, denials, and billing workflow opportunities. Request a free medical billing audit or call (214) 571-6317.
Please do not send patient names, dates of birth, medical-record numbers, or other protected health information through the public request form.
Reviewed by the AMS Solutions medical billing team. Updated August 9, 2026.