OB/GYN Medical Billing Services
OB/GYN billing is unlike any other specialty. The global obstetric package bundles months of antepartum care, delivery, and postpartum follow-up into a single claim—and one provider-change mid-pregnancy can invalidate the entire package. With Florida Medicaid financing approximately 45% of births statewide and prior authorization required for most GYN surgeries, Florida OB/GYN practices need a billing partner with subspecialty expertise. Medsure RCS delivers OB/GYN medical billing services that protect every global package, ultrasound, and GYN procedure your practice bills.
Why OB/GYN Billing Requires a Specialist
OB/GYN billing operates on a fundamentally different model from every other outpatient specialty. The global obstetric package—covering antepartum care, delivery, and postpartum follow-up under a single bundled payment—creates billing scenarios with no equivalent in primary care or surgical specialties. When a patient transfers between providers, delivers at a different facility than planned, or requires co-management with maternal-fetal medicine, the billing must be split precisely or the practice forfeits revenue.
Gynecologic surgery adds a second layer: virtually every major GYN procedure requires prior authorization, and NCCI edits aggressively bundle many commonly billed GYN code combinations. The American College of Obstetricians and Gynecologists (ACOG) publishes coding guidance updated annually, and Florida Medicaid SMMC plans apply their own coverage criteria on top of CMS global package rules.
Global Package Compliance Alert: Billing CPT 59400 or 59510 (global OB package) requires the same physician or practice group to have provided all antepartum visits, performed the delivery, and completed the postpartum visit. Billing the global code when a different group handled any phase—without splitting the claim into antepartum-only (59425/59426) and delivery-only (59409/59514) codes—is an OIG-identified compliance risk that can result in recoupment of the full global payment.
Global Package Complexity
The global OB package spans 9+ months of care across three phases. Any change in provider, delivery facility, or care complexity (e.g., referral to maternal-fetal medicine for high-risk pregnancy) requires precise split-billing using antepartum-only and delivery-only CPT codes to avoid compliance violations and revenue loss.
High Medicaid Delivery Volume
Florida Medicaid finances approximately 45% of births statewide. Each Medicaid delivery routes through a managed care plan with its own fee schedule, credentialing requirements, and prenatal visit tracking. Practices billing Medicaid for OB services must be enrolled and credentialed with the specific MCO—not just statewide Medicaid.
GYN Surgical Prior Auth Burden
Major GYN procedures—hysterectomy, myomectomy, oophorectomy—require prior authorization from virtually every commercial payer and Florida Medicaid. Surgical authorization must reference the specific CPT code, planned diagnosis, and site of service. An authorization obtained for a laparoscopic approach does not cover conversion to open surgery.
Our OB/GYN Billing Services
Medsure RCS delivers complete OB/GYN billing services for solo OB/GYN practices, multi-provider groups, and hospital-employed OB/GYN physicians across Florida. Our certified coders hold AAPC CPC credentials with OB/GYN specialty training and apply current ACOG coding guidance, CMS global package rules, and Florida Medicaid SMMC policies to every claim.
Global Obstetric Package Billing
Complete global package billing for vaginal delivery (59400), C-section (59510), and VBAC (59618). We track antepartum visit counts, verify single-provider continuity, and split the package into antepartum-only (59425/59426) and delivery-only (59409/59514) codes when co-management or provider transfer occurs. See our full guide to obstetrics global package billing.
Gynecologic Surgery Billing
Hysterectomy (58150, 58260, 58550), myomectomy (58545/58546), oophorectomy (58661), hysteroscopy (58563), and colposcopy (57454) billing with complete prior authorization management. We verify NCCI bundling rules for multi-procedure GYN claims and apply modifier 51 (multiple procedures) or modifier 22 (increased complexity) when documentation supports it. Review our gynecology CPT codes 2026 guide.
Obstetric Ultrasound Billing
Complete ultrasound billing including 76801 (first trimester, <14 weeks), 76805 (standard anatomy survey, ≥14 weeks), 76811 (detailed fetal anatomy), 76815 (limited, follow-up), 76816 (repeat survey), and 76817 (transvaginal). We confirm payer limits on ultrasound frequency and document clinical indication to prevent "not medically necessary" denials on repeat scans. Learn more: OB/GYN ultrasound billing CPT codes.
Maternity Medicaid Billing
Florida Medicaid maternity billing across all SMMC managed care plans. We verify MCO enrollment at the initial prenatal visit and at every subsequent visit—pregnant patients frequently switch plans during pregnancy. EPSDT-covered prenatal screening services, including genetic counseling referrals and domestic violence screening, are identified and billed on every eligible Medicaid maternity encounter.
OB/GYN Denial Management
Our OB/GYN billing denial management team conducts root-cause analysis on every denied claim within 24 hours of receipt. Global package billing errors, ultrasound frequency denials, and missing prior auth are addressed at the source with pre-submission scrubbing protocols that prevent recurrence across the entire practice.
OB/GYN Revenue Cycle Management
End-to-end OB/GYN revenue cycle management from maternity insurance verification and benefits eligibility through payment posting and AR follow-up. Monthly KPI reporting tracks global package collection rates by payer, C-section versus vaginal delivery revenue mix, and GYN surgical procedure collection performance separately from obstetric revenue.
OB/GYN CPT Codes Reference 2026
OB/GYN uses four primary CPT families: global obstetric packages, split obstetric codes, obstetric ultrasound, and gynecologic procedures. The 2026 MPFS maintains current RVU values for global obstetric packages; ACOG updated its coding companion in early 2026 with clarifications on laparoscopic GYN procedure code selection.
View OB/GYN CPT Code Reference Table — 5 categories with prior auth and documentation rules
| Category | CPT Codes | Key Documentation Requirement | Prior Auth |
|---|---|---|---|
| Global OB Package | 59400 (vaginal, global), 59510 (C-section, global), 59618 (VBAC, global) | Single provider or same group: all antepartum visits + delivery + postpartum; visit count documented | Not required (covered as global maternity benefit) |
| Split OB Codes | 59425/59426 (antepartum only), 59409/59514/59620 (delivery only), 59430 (postpartum only) | Required when care is split between providers; document transfer date and services rendered by each provider | Not required; use when global package cannot be billed |
| Obstetric Ultrasound | 76801 (<14 wks), 76805 (≥14 wks standard), 76811 (detailed), 76815 (limited), 76816 (repeat), 76817 (transvaginal) | Clinical indication for each scan; payer limits on number of scans per pregnancy (typically 2–3 for routine gestation) | Required for >2–3 scans (commercial); no limit on Medicaid with documented indication |
| GYN Major Surgery | 58150 (TAH), 58260 (TVH), 58550 (LSH), 58661 (lap BSO), 58545/58546 (myomectomy) | Failed conservative treatment documented; ACOG criteria for hysterectomy indication; site-of-service match | Required (all payers, all GYN major surgery) |
| GYN Office Procedures | 57454 (colposcopy + biopsy), 58300 (IUD insertion), 58301 (IUD removal), 57520 (LEEP), 88141–88175 (pap interpretation) | Colposcopy: abnormal pap or positive HPV documented; LEEP: CIN II/III or HSIL pathology on prior biopsy | Not required for colposcopy/IUD; required for LEEP in some commercial plans |
Global OB Package: What It Covers and When to Split
The global obstetric package is the cornerstone of OB billing—and the source of the specialty's most costly compliance errors. Understanding exactly what each phase includes, and when a split is required, is fundamental to billing OB/GYN services correctly.
Antepartum Care Phase
The global package (59400, 59510, 59618) includes the initial prenatal visit, monthly visits through 28 weeks, biweekly visits through 36 weeks, and weekly visits thereafter — totaling 13+ visits for vaginal delivery. If fewer than 13 visits are provided before delivery, bill 59425 (4–6 antepartum visits) or 59426 (7+ antepartum visits) instead of the global code.
Delivery and Intrapartum Care
Delivery is included in the global package when the same provider or group practice managed antepartum care. Admission H&P and management of uncomplicated labor are bundled into the global fee. Complications billed separately must be documented as beyond routine delivery management — e.g., shoulder dystocia management (CPT 59300) or repair of vaginal lacerations (59300 series).
Postpartum Care Phase
The global package includes one postpartum visit at 4–6 weeks after delivery. Additional postpartum visits are separately billable as office E&M (99202–99215) with modifier 24 (unrelated E&M during postoperative period) or on a separate date after the 6-week global period closes. IUD insertion at the postpartum visit is separately billable as 58300.
When to Split the Package
Split billing is required when: (a) the patient transfers to a different provider mid-pregnancy, (b) a hospitalist or laborist delivers for a different practice's patient, or (c) the patient delivers before completing the minimum antepartum visit count. The transferring provider bills 59425/59426; the delivering provider bills 59409, 59514, or 59620 plus 59430 for postpartum care.
Top OB/GYN Claim Denial Reasons
OB/GYN averages a 24% initial denial rate, with global package errors and ultrasound frequency denials accounting for more than half. Our OB/GYN billing denial management team targets a final denial rate below 5%.
Denial Reason #1: Global Package Billed Incorrectly When Provider Split Occurred (32%)
The most common and most costly OB/GYN denial. Billing CPT 59400 or 59510 (global package) when a different provider or group performed the delivery results in automatic denial—and often a recoupment demand if previously paid. The global code signals that one provider handled all three phases. Any split in care requires antepartum-only codes (59425/59426) from the first provider and delivery-only codes (59409/59514) from the delivering provider.
Prevention: Track provider continuity at every antepartum visit. Flag any delivery by a hospitalist, laborist, or covering physician so the claim is automatically split before submission.
View Denial Reasons 2–5 — Ultrasound Limits, GYN Prior Auth, Modifier 25, Medicaid MCO Mismatch
Denial Reason #2: Obstetric Ultrasound Exceeds Payer Frequency Limit (24%)
Most commercial payers cover 2–3 routine obstetric ultrasounds per pregnancy (typically 76801 + 76805). Additional scans require documented medical necessity—fetal growth restriction, abnormal anatomy, multiple gestation, or placenta previa. Submitting a 4th or 5th ultrasound without a high-risk diagnosis code attached causes automatic denial. Florida Medicaid covers additional ultrasounds with documentation of clinical indication, but each excess scan must include a supporting ICD-10 code beyond normal pregnancy (Z34.x).
Prevention: Ultrasound claims are reviewed for scan number per pregnancy. Any scan beyond #2 is held pending diagnosis code verification against the clinical note.
Denial Reason #3: GYN Surgery Without Prior Authorization (19%)
Major GYN procedures—hysterectomy, myomectomy, oophorectomy—require prior authorization from all commercial payers and Florida Medicaid. Authorization obtained for a laparoscopic approach (58550) does not automatically cover an open conversion (58150). If the surgical approach changes intraoperatively, a supplemental authorization must be obtained or an appeal filed with operative report documentation explaining medical necessity for the change in approach.
Prevention: Authorization is obtained for the planned CPT code and primary diagnosis before scheduling. Intraoperative changes are flagged immediately for supplemental auth submission within 48 hours of surgery.
Denial Reason #4: Modifier 25 Missing on Same-Day E&M and Procedure (15%)
When a GYN office procedure (colposcopy, IUD insertion, LEEP) is performed on the same day as an E&M visit, the E&M must carry modifier 25. Without it, the E&M is bundled into the procedure payment and denied. Documentation must show that the E&M addressed a separate clinical concern beyond the decision to perform the procedure—or was a significant, separately identifiable evaluation.
Prevention: Pre-submission scrub flags all same-day E&M plus procedure claims and verifies modifier 25 is appended with supporting note documentation.
Denial Reason #5: Medicaid MCO Mismatch for Pregnant Patients (10%)
Pregnant Florida Medicaid patients frequently change managed care plans during pregnancy—at annual redetermination, after a move, or when newly enrolling during pregnancy (Florida allows Medicaid enrollment through the last day of the month of birth plus 60 days postpartum). A prenatal claim submitted to the MCO at the patient's initial enrollment may deny if she has since transferred to a different managed care plan. This is the same plan-mismatch problem as pediatric Medicaid, applied to maternity claims.
Prevention: MCO verification is performed at every prenatal visit, not just the initial registration. Plan changes are flagged and the billing system updated before the next claim is submitted.
A single global package billing error on a $4,000 delivery claim doesn't just lose one claim. It exposes every similar claim the practice has submitted in the past 36 months to retrospective audit and recoupment. The global OB package demands precision billing from the first prenatal visit.— Medsure RCS OB/GYN Billing Team, St. Petersburg, FL
In-House vs. Outsourced OB/GYN Billing
OB/GYN billing complexity—global packages, split billing, GYN surgical prior auth, and Florida Medicaid maternity rules—makes it among the most error-prone specialties for generalist billing teams. The MGMA 2024 Physician Practice benchmark report shows OB/GYN practices with specialized billing partners achieve materially lower global package error rates. Review the full in-house vs outsourced OB/GYN billing comparison.
View Full Comparison — In-House vs. Outsourced OB/GYN Billing (8 factors)
| Factor | In-House Billing | Outsourced to Medsure RCS |
|---|---|---|
| Annual Cost | $48,000–$70,000/yr (biller salary) + software + benefits | 5–8% of net collections; scales with delivery volume |
| Global Package Expertise | Risk of incorrect global vs. split billing when providers change | Automated provider-continuity tracking; split billing triggered on delivery |
| FL Medicaid Maternity | Requires active tracking of SMMC plan changes per patient | MCO verification at every prenatal visit; plan changes captured in real time |
| GYN Prior Auth | Manual tracking; risk of expired auth at time of surgery | Auth expiration alerts; supplemental auth for intraoperative changes |
| Ultrasound Frequency Tracking | Relies on provider awareness of payer limits | Per-patient ultrasound count tracked; clinical indication verified before claim submission |
| Denial Rate | Industry avg: 24% initial, 8–12% final | Target: <8% initial, <5% final |
| Audit Risk | Global package errors may expose 36 months of claims to recoupment | Pre-submission compliance review on every global package claim |
| Reporting | Limited to EHR-generated reports; no OB vs. GYN revenue split | Monthly dashboard: obstetric vs. GYN revenue, Medicaid vs. commercial, global package collection by payer |
Regulatory Requirements for OB/GYN Billing
OB/GYN billing is governed by CMS global surgical package rules, ACOG coding guidance, and Florida Medicaid maternity policies. The OIG Work Plan identifies global OB package billing errors and GYN hysterectomy medical necessity as active monitoring targets. Florida's Medicaid program is administered through the Agency for Health Care Administration (AHCA) and routed through SMMC managed care plans.
View Regulatory Reference — CMS Global Package Rules, ACOG Guidelines, NCCI, Florida Medicaid Maternity
CMS Global Surgical Package Rules
The global OB package includes all routine antepartum care, delivery, and one postpartum visit. Separately billable services include: high-risk pregnancy management, treatment of conditions unrelated to pregnancy, and complications beyond routine delivery. CMS defines routine antepartum care as 13+ visits for vaginal delivery and 10+ for C-section. Documentation must support visit count.
ACOG Coding Guidance 2026
The American College of Obstetricians and Gynecologists publishes annual coding updates that serve as the clinical standard for OB/GYN billing. ACOG guidance covers global package split-billing scenarios, GYN surgical procedure selection (laparoscopic vs. open), and documentation requirements for E&M visits during the global period. AAPC CPC certification with OB/GYN specialty training aligns with ACOG standards.
NCCI — OB/GYN Bundles
NCCI Policy Manual Chapter 4 governs obstetric and gynecologic code pairs. Key bundles: episiotomy is included in vaginal delivery (do not bill 59300 separately for routine episiotomy); postpartum hemorrhage management may be separately billable with documentation; laparoscopic BSO (58661) is bundled with laparoscopic hysterectomy (58550) — bill as a package or use modifier 51 for distinct procedures on separate sites.
Florida Medicaid Maternity Policy
Florida Medicaid covers maternity services for women at up to 196% FPL. Medicaid extends through the 60-day postpartum period. Pregnant women may enroll in Medicaid through the last day of the month of their baby's birth. SMMC managed care plans administer maternity benefits; practices must be credentialed with the MCO, not just AHCA, to bill Medicaid maternity services.
OIG — GYN Hysterectomy Monitoring
The OIG Work Plan identifies hysterectomy medical necessity as an active review target. Practices must document failed conservative treatment prior to hysterectomy: heavy menstrual bleeding unresponsive to medication, fibroid burden causing symptoms, or confirmed malignancy. Audit exposure is highest for hysterectomies performed on patients under age 35 without documented pathology.
HIPAA — OB/GYN PHI
OB/GYN PHI includes pregnancy status, reproductive health history, genetic screening results, and sexually transmitted infection testing. Florida Statute 743.064 allows minors to consent to and receive confidential reproductive healthcare. Claims billed to a parent's insurance for minor-consented services may require careful coordination to protect the patient's privacy on Explanations of Benefits.
Florida OB/GYN Billing Payer Landscape
Florida averages approximately 230,000 births per year, with Medicaid financing roughly 45% of deliveries. Major OB/GYN systems include Tampa General Hospital, AdventHealth for Women (Orlando), Jackson Memorial Women's Hospital (Miami), and UF Health Shands (Gainesville). Florida's high immigrant and uninsured population creates higher-than-average Medicaid maternity enrollment, and Spanish-language documentation support is a clinical necessity in many markets. Medsure RCS provides OB/GYN billing services across Florida from our St. Petersburg headquarters.
| Payer | FL Role | OB Coverage Notes | GYN Surgery Auth |
|---|---|---|---|
| Florida Blue | Largest commercial payer (~34%) | Global OB package covered; 2 routine ultrasounds; additional scans require medical necessity documentation | Required for hysterectomy, myomectomy; uses eviCore for GYN surgical management |
| WellCare / Centene (Medicaid) | Largest FL Medicaid MCO | Covers global OB package; prenatal care management program required enrollment; additional US with indication | Required for all GYN major surgery; peer-to-peer available for hysterectomy |
| Aetna FL | ~15% commercial | Global OB covered; Aetna Clinical Policy 0071 governs GYN procedures; infertility coverage limited by plan | Required for hysterectomy, myomectomy, laparoscopic BSO; 5–7 business day turnaround |
| UHC | ~13% commercial | Global OB package covered; UHC Prior Auth List includes most GYN procedures; online auth portal available | Required for hysterectomy, LEEP in some plans; peer-to-peer with OB/GYN specialist |
| Molina Healthcare FL (Medicaid) | FL Medicaid MCO | Maternity case management required for enrollment; prenatal risk assessment at first visit; delivery notice required | Required for all non-emergency GYN surgery; Molina GYN clinical criteria apply |
| Humana (MA & Commercial) | MA leader + commercial | Commercial: global OB covered. Medicare Advantage: OB rarely relevant; GYN procedures for elderly patients | Required for major GYN surgery; Humana clinical policy on hysterectomy criteria |
Why Florida OB/GYN Practices Choose Medsure RCS
OB/GYN billing errors compound in ways unique to the specialty: a global package error doesn't affect one claim—it puts every similar claim from the past 36 months at risk. Medsure RCS employs CPC-certified coders with OB/GYN specialty training, applying current ACOG coding guidance, CMS global package rules, and Florida Medicaid maternity policies to every claim before submission.
OB/GYN Billing Credentials
- AAPC CPC with OB/GYN specialty certification
- ACOG 2026 Coding Companion trained
- Global package split-billing protocols certified
- GYN surgical prior authorization management
- NCCI Chapter 4 (OB/GYN) bundling rules proficient
Regulatory & Compliance Knowledge
- CMS global surgical package rules — 42 CFR 414.22
- OIG hysterectomy medical necessity documentation standards
- Florida Medicaid maternity — AHCA policy + SMMC MCO rules
- HIPAA minor reproductive health confidentiality — FL Stat. 743.064
- NCCI OB/GYN bundle pairs: delivery, hysterectomy, laparoscopic procedures
Florida Market Expertise
- All major FL commercial: Florida Blue, Aetna, UHC, Humana
- FL Medicaid SMMC: WellCare/Centene, Molina, Sunshine Health, Florida Blue Medicaid
- eviCore GYN surgical auth (Florida Blue) workflows
- Tampa, Orlando, Miami, Jacksonville OB/GYN market knowledge
- Spanish-language documentation support for Miami and Central FL markets
OB/GYN Billing Key Takeaways
- Global package requires single-provider continuity: If any phase of care (antepartum, delivery, postpartum) is handled by a different provider or group, split the claim using antepartum-only and delivery-only codes.
- Ultrasound frequency limits are real: Commercial payers cover 2–3 routine scans. Any additional scans need a documented high-risk diagnosis code—not just a clinical order.
- GYN surgery always needs prior auth: Authorization must match the planned CPT code and approach. Intraoperative conversions require supplemental authorization filed within 48 hours.
- Modifier 25 on same-day E&M + procedure: Required every time a significant E&M is performed on the same day as a GYN office procedure. Two distinct note sections required.
- Florida Medicaid maternity MCO changes monthly: Pregnant patients switch plans at redetermination. Verify MCO enrollment at every prenatal visit.
Florida OB/GYN practices lose an estimated $35,000–$100,000 annually to global package billing errors, unauthorized GYN surgeries, and Medicaid MCO mismatches. A free Medsure RCS audit identifies your practice's specific revenue leakage within 5 business days.
OB/GYN Billing: Frequently Asked Questions
What is the global OB package and what does it include?
The global OB package is a bundled payment covering all routine antepartum care (13+ visits for vaginal delivery, 10+ for C-section), the delivery, and one postpartum visit at 4–6 weeks. CPT 59400 covers vaginal delivery with global care; 59510 covers planned C-section; 59618 covers VBAC with global care. The global package assumes a single provider or same group practice delivers all three phases of care.
View 7 more OB/GYN billing FAQs — split billing, ultrasound limits, GYN auth, Florida Medicaid
What CPT codes are most commonly used in OB/GYN billing?
Key OB/GYN CPT codes include 59400 (vaginal delivery, global), 59510 (C-section, global), 59618 (VBAC, global), 76805 (obstetric ultrasound ≥14 weeks), 76817 (transvaginal ultrasound), 58150 (total abdominal hysterectomy), 58550 (laparoscopic supracervical hysterectomy), 58661 (laparoscopic BSO), 57454 (colposcopy with biopsy), and 99202–99215 (office E&M). Modifier 25 is required when an E&M is billed on the same day as a GYN procedure.
How is billing handled when a patient switches OB providers mid-pregnancy?
The global package is split. The transferring provider bills antepartum-only codes: 59425 (4–6 visits) or 59426 (7+ visits). The receiving provider bills delivery-only: 59409 (vaginal delivery only), 59514 (C-section only), or 59620 (VBAC only), plus 59430 (postpartum care only). Billing the full global code when only partial care was provided is the most common OB/GYN compliance risk in OIG audits.
What are the most common OB/GYN claim denial reasons?
The top five OB/GYN denial causes are: (1) global package billed incorrectly when provider split occurred (32%), (2) obstetric ultrasound exceeding payer frequency limits without documented indication (24%), (3) GYN surgery without prior authorization (19%), (4) modifier 25 missing on same-day E&M and procedure (15%), and (5) Medicaid MCO mismatch for pregnant patients who changed plans (10%).
Does Florida Medicaid cover the global OB package?
Yes. Florida Medicaid finances approximately 45% of births statewide. Pregnant women qualifying at up to 196% FPL are enrolled in a Medicaid managed care plan through SMMC. Each MCO has its own fee schedule and prenatal care requirements. Practices must be credentialed with the specific MCO—not just AHCA—before billing Medicaid maternity services.
When is prior authorization required for gynecology procedures?
Major GYN surgeries require prior auth from all commercial payers and Florida Medicaid: hysterectomy (58150, 58260, 58550), oophorectomy (58661), myomectomy (58545/58546), and hysteroscopy with resection (58563). Colposcopy (57454) and IUD insertion (58300) typically do not require auth. Authorization must reference the specific CPT code, diagnosis, and planned site of service.
How does OB/GYN billing differ from other medical specialties?
OB/GYN uniquely uses the global obstetric package—a bundled payment spanning months of care across three phases. Unlike other specialties where each visit generates a separate claim, OB practices bill antepartum, delivery, and postpartum as a single package. Provider continuity is a billing requirement, and any care split demands precise split-billing using antepartum-only and delivery-only codes.
What is the target Net Collection Rate for an OB/GYN practice?
High-performing OB/GYN practices target a Net Collection Rate of 95–97%, Days in AR under 40, and a denial rate below 5%. Average revenue per global delivery ranges from $2,500–$5,000 by payer mix, with C-section packages reimbursing 20–30% higher than vaginal delivery. Florida Medicaid global delivery rates run 60–70% of commercial rates—making commercial payer collection performance especially critical for practices with high Medicaid volume.
Ready to Protect Your OB/GYN Practice Revenue?
Medsure RCS delivers specialized OB/GYN medical billing services for Florida practices—from solo OB/GYNs to multi-provider groups with high Medicaid maternity volume. Request a free billing audit and identify your practice's global package compliance exposure and revenue recovery opportunities within 5 business days.