OB/GYN Billing Services in Oregon

Oregon's healthcare market includes 14,000+ physicians, and ob/gyn practices here face a payer market dominated by Regence BlueCross BlueShield on the commercial side and Oregon Health Plan on the public payer side. Medicare claims are processed through Noridian, which applies its own Local Coverage Determinations that directly affect ob/gyn procedure coverage and medical necessity requirements. Generic billing teams without OR specific knowledge leave revenue on the table.

OB/GYN billing itself is complex. Obstetric billing uses global maternity codes (59400 vaginal, 59510 cesarean, 59610 VBAC) that bundle antepartum visits, delivery, and postpartum care. But high-risk antepartum visits, complications, and procedures outside the global package can be billed separately with the right documentation. Gynecologic billing covers office procedures (colposcopy, endometrial biopsy), surgery (hysterectomy, laparoscopy), and preventive care. When you combine this coding complexity with Oregon's specific payer rules, authorization requirements, and 4 Oregon Health Plan managed care plans that each have their own billing rules, you need a team that understands both dimensions. Go Medical Billing provides that expertise at 2.49% of collections, serving ob/gyn practices from Portland to Bend and across Oregon.