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OB Gyn Billing Services California, CA

Obstetrics and Gynecology is a specialty that carries voluminous claims filing as the services rendered cover Obstetrics, Gynecology, and Anesthesia for procedure and Family Planning. Our billers and coders have obstetrics & gynecology billing and coding expertise having worked for years with obstetricians and gynecologists across USA and are trained to understand the coding complexity involved in laboratory tests to abortion cases, or Anesthesia billing affecting OB/GY processes, or handle family planning claims attended by you.

Why us?

Our obstetrics & gynecology billers and coders would initiate a follow up on patient claims pending for more than 18 days and optimize your current cycle to 21 to 25 days depending on the kind of insurance accepted by your clinics, with their accumulated knowledge of:

  • Accurate coding on ICD 10 and CPT platforms
  • Raising paper and electronic bills
  • Following up with pending and under-paid claims
  • Working on pre-authorization for approaching procedures

Did you know?

  • HCPCS code J2675 (Injection, progesterone) is one of the most used codes in OB/GYN providing high revenue to providers.
  • For HCPCS codes G0101, Q0091 reimbursement is possible only once every year except during medical necessity.
  • CPT code 59514 (Cesarean delivery only) to be reimbursed definitely requires the presence of an assistant surgeon as it is a highly paid and complicated service.

Running a medical practice in California can be quite challenging when it comes to medical billing and coding. Our billers and coders in all the major cities of California including Los Angeles, San Diego, San Jose, San Francisco, Fresno can help you settle your requirements here are some of the services which our expert medical billers and coders specializes in:

  • Tracking and follow-up on unpaid claims
  • Preparing Patient statements and payment posting
  • Customizing billing reports for better control
  • Primary and secondary insurance claims filing

Value Our California Billers Bring:

Our medical billers and coders are not limited to just the big cities such as Fresno, San Francisco, and San Diego but also all other smaller cities and towns in California. Moreover our billers are compliant with HIPAA guidelines and are updated with all industry updates through medicalbillerandcoder.com. This makes sure that your practice is run in the most efficient and legally safe conditions. Our Billing specialists also ensure that your patients are hassle free and their billing queries are answered well.

The expertise of our billers is vast and includes but is not limited to Past Due Collections, Electronic Medical claim filing, Medicare Audit Protection, coding and diagnosis analysis for maximum allowable reimbursement, customized accounts receivable and revenue cycle financial analysis, electronic claims submissions, denials management and payment posting, dedicated and relentless insurance follow-up, patient statements and patient-centric support, provider enrollment support, and standardized reporting.

Our Specialties:

Our medical billing specialists are committed to improving your productivity by utilizing finest processes and health care information technology such as Electronic Medical Records. These medical billers and coders maximize your revenue, ensure timely compensation, and offer medical billing and coding services in specialties including Family Practice, mental health , pain management, Physical Therapy, radiology, Internal Medicine, neurology, orthopedic, and numerous other areas.

Our Software Experience:

The fact that physician shortage is set to quadruple in the next decade according to AAMC (Association of American Medical Colleges) makes it vital that physicians utilize professional and accurate medical billing and coding services. The various software that we provide in addition to the value added services mentioned above ensures that physicians are capable of keeping up-to-date with the healthcare IT sector reforms and improvements. Some of the medical coding and billing software that our billers have experience on include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint.

Difficulties & Challenges California physicians Face:

The most common challenges faced by physicians in big cities such as San Jose and Los Angeles are underperforming accounts receivables or collections and claims denial. Both these situations along with other errors may lead to decreased revenue. Our billers provide the solutions to these problems by making the denial management efficient and offering services such as integrated medical billing with EMR along with numerous other value added services like sending patient statements and processing refunds to Medicare in order to preserve your practice from RAC audits.

As a physician in California, it becomes difficult to keep track of all the changes taking place in the legislation related to your practice. This is where the expertise and experience of our medical billing specialists can be of immense help. It almost seems that payers are in the business of claim denial and can afford to make mistakes at your expense. Although the new HIPAA guidelines would ensure a smoother process, the amount of patient-doctor encounters would increase in the future making it difficult to extract time for coding, billing, claim denial and compliance with HIPAA regulations. Specialized medical billers and coders such as ours can ensure that your practice not only flourishes but is also HIPAA compliant.

MBC supports physicians to focus on their core competence

Unprecedented increase in medical cases, market-driven competition, and stringent billing and coding regimen have driven obstetrics and gynecology physicians/hospitals searching for a balancing act that would not only address their core-issue of efficient medical care, but also competitive standing through an uninterrupted flow of medical bill reimbursements. Having been a strategic partner for Individual physicians, physician groups, multi specialty groups, clinics, free standing diagnostic facilities, long term care facilities, acute care facilities, and hospitals, MBC has been able to offer comprehensive obstetrics and gynecology medical billing services, resulting in denial-free medical reimbursements.

Our outsoursed obstetrics and gynecology billing and coding services credentials

Quite understandably, the following set of pre-qualifications have been crucial in delivering efficient medical billing services to a majority of obstetrics and gynecology professionals across all states in the U.S:

  • Certification from American Association of Professional Coders (AAPC)
  • Application of advanced technology interface:
  • Use of latest medical billing softwares such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc.
  • Use of latest coding softwares such as EncoderPro, FLashcode and CodeLink
  • Application of standard CPT, HCPCS procedure and supply codes, and ICD-10-CM diagnosis coding as per CMS guidelines and HIPAA compliant medical coding service – which describes medical, surgical, and diagnostic services related to Obstetrics and Gynecology– for successful management of billing and coding of diverse Obstetrics and Gynecology services.
  • Successful track-record of processing Obstetrics and Gynecology bills with the leading private insurance carriers such as United health , Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well.

Obstetrics and gynecology billing across multiple specialties

Our obstetrics and gynecology billing specialists – on the confidence of unparalleled pre-qualifications – have been able to demonstrate their efficient billing credentials across multiple specialties such as:

  • Maternal-Fetal Medicine
  • Reproductive Endocrinology and Infertility
  • Gynecological Uro-gynecology and Pelvic Reconstructive Surgery
  • Advanced Laparoscopic Surgery
  • Family Planning
  • Pediatric and Adolescent Gynecology
  • Menopausal and Geriatric Gynecology

Value Delivery to Obstetrics and Gynecology Physicians

Thus, our Obstetrics and Gynecology billing system – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards as per HIPAA – is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and Increased avenue for medical research and development.