OB/GYN Medical Billing Services in Ohio
AMS Solutions provides specialized ob/gyn medical billing for Ohio practices — Columbus, Cleveland, Cincinnati, Toledo and statewide. Our AAPC-certified billers handle the maternity global package (59400, 59510, 59610, 59618), the full ultrasound code set (76801-76817), and GYN procedures and the Ohio payer mix.
Ohio-specific payer landscape
Ohio OB/GYN billing crosses Ohio Medicaid Managed Care (Buckeye Health Plan, CareSource, Molina, Paramount Advantage, UnitedHealthcare Community), Anthem BCBS Ohio, Medical Mutual of Ohio, Aetna, Cigna, and Medicare. CGS is the MAC for OH Medicare Part B.
Where Ohio ob/gyn revenue leaks
- Ohio Medicaid MCO patient transfers mid-pregnancy — antepartum-only splits
- Multi-gestation ultrasound coding (76802, 76810)
- Same-day GYN procedure + E/M bundling without Modifier 25
- Ohio-specific Healthy Start program billing
- CGS LCD compliance on advanced ultrasound
What AMS handles for Ohio practices
- Pre-encounter eligibility verification and benefit checks
- Coding, charge entry, and claim submission
- Denial management and appeals (we don’t write off — we fight)
- A/R follow-up and patient statements
- Monthly reporting tied to your practice management system
Ohio compliance
Ohio HB 281 + HIPAA + 7-year record retention. AAPC-certified, $5M E&O.
Get a OB/GYN Billing Assessment for Your Ohio Practice
Call (214) 571-6317 or book a 30-minute review with our team.
Yes — Buckeye, CareSource, Molina, Paramount, UnitedHealthcare Community, and all major OH MCOs.
Yes. We bill Ohio Healthy Start for participating practices.
We split global maternity into antepartum (59425/59426), delivery (59409/59514), and postpartum (59430) billed to the correct payer per segment.
95%+ on first pass.
Yes. BAAs executed with every practice.