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OB Gyn Billing Services Tennessee, TN

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.

Our Tennessee medical billers and coders have been helping local healthcare professional in and around the state for many years now. They all seem to have collected their knowledge with years of practice of dealing with local payers.

They work towards eliminating your outstanding accounts receivables and make your reimbursement process seamless. They have been catering to major Tennessee cities like Memphis, Nashville, Knoxville, Chattanooga and Clarkesville and are willing to travel to your clinic anywhere in Tennessee.

These proficient billers provide customized services to meet the requirement of your practices. Some of the services our professional medical billers can help you with:

  • Accurate and prompt verification of benefits
  • Scheduling appointments
  • Complete charge entry for claims
  • Posting Payment regularly
  • Electronic Claims transmitted through carriers or clearing house
  • Thorough audit before transmitting claims

Over the last few years gross charges denied have grown to 18%, based on estimation for US healthcare providers. This has made the physicians from Tennessee worry about denial ratio.

Consulting professionals or expert medical billers and coders to understand the major reasons for denials works well with busy physicians. Our Billers can consult with you for your accounts receivables and insurance follow-up by being an extension for your practice. Moreover they are also proficient in medical terminology, disease processes, anatomy and physiology, life cycle of an insurance claim, health care settings, health care payers, procedure and diagnosis coding from medical records, reimbursement systems, surgical procedures, facility billing, and medical practice management systems.

Value Our Tennessee Billers Bring:

Our medical billers and coders are experienced in insurance collections which can be a tedious job for someone who lacks experience in this area. They also understand how critical timely insurance collections are for the physician as well as the patient. By using EMR that is efficient our medical billers and coders are quick in patient statement processing which can be an increasing burden due to the rising demand for medical services. Our medical coders and billers at medicalbillersandcoders.com also have solid relationships with key insurance companies across the nation and state so that any delays or errors can be avoided when dealing with insurance matters such as claims denial and in revenue cycle management.

Billing and coding services provided by our billers and coders are a mix of specialized professionals with wide ranging skills such as insurance collections, patient statements processing, claims management, fee schedules evaluation, and the ability to establish effective relationships with patients and insurance companies and expertise with patient accounting software. With in-depth knowledge of the medical billing and coding and compliance of HIPAA guidelines, it would become easier for you to ensure that revenue and quality of patient services is not affected due to errors in medical coding and billing.

Their skills with Insurance eligibility verification and account receivables follow up, is the main reason for many Tennessee clinics to experience a growth of 20% in revenues with their Medical billing services.

Our Specialties :

Our billers and coders are specialized in various areas such as Optometry, Family Practice, chiropractic, OB Gyn, Physical Therapy, oncology, Pediatrics, urology, and Hospitalist Billing. All the medical billers and coders at medicalbillersandcoders.com are familiar with ICD9 and CPT Coding which make them preferable choices for physicians. Many of our medical billers and coders provide value added services to offer through specialized services like evaluating fee schedules, helping you prepare online super bills and diagnosing major reasons for denials.

Our Software Experience :

With the implementation of efficient EMR software our medical billers and coders ensure a paperless, time saving, and efficient medical billing system. The EMR software which they are already trained on include Medisoft, Misys Tiger, Eclinicalworks,Advance MD, GE Centricity, and Altapoint. Using these software would not only save time but also assist you in handling the increase in demand for your services as a health care provider. The Practice Management software that we provide in addition to the value added services mentioned above ensures that physicians in Tennessee are able to keep up with the healthcare IT sector reforms and improvements.

Problems Tennessee Physicians Face :

Physician shortage is a huge problem in Tennessee and increasing number of patients in the near future would mean requirement of experienced and skilled medical billers and coders. Moreover, lesser claim denials may be expected due to the health reform which makes it imperative that you have a flawless and professional team of medical billers and coders. Our expert medical billers and coders ensure quality revenue cycle management service across almost all the counties and cities in Tennessee and not just big cities such as Memphis, Nashville, Knoxville, Chattanooga and Clarkesville.

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.