Billing Guidelines For Your OB-GYN Practice To Follow

Obstetrics and Gynecology is one specialty that involves capacious claims filing. OB-GYN Practice Services are rendered for many family planning, obstetrics, gynecology, and anesthesia procedures. Yet in virtually every family practice, opportunities to maximize reimbursements are missed. Under-coding, omitting modifiers, and submitting claims without the documentation needed to support them are everyday events. The lost revenue is no small change.

Hence outsourcing to a professional medical billing and coding company can do wonders. Outsourcing medical billing and coding understand the particulars that go into the process for OB-GYN billing services and this is why the experience of hiring an outsourcing medical coding makes a difference. The team is adept and keeps itself abreast with the latest happenings in the healthcare industry, thus assuring no impacts to the bottom line of your practice. Experience uninterrupted cash flow and lower your denials.

Below are the guidelines for your OB-GYN Practice to follow:

Outsourcing Will Be A Wise Decision

The process of outsourcing billing is straightforward for office and medical staff. Bills and documents are scanned and sent electronically to the medical billing service. The medical billing staff handles data entry and claim submission on behalf of the practice. The industry average pay is around 7% charge for processing claims. In addition, the medical billing service follows up on rejected claims, handles delinquent accounts, and sends invoices directly to the patients.

How OB-GYN Practice Billing Guidelines Can Help With Right Coding?

OB-GYN healthcare professionals are well-versed with the effects of incomplete, wrong, or delayed clinical documentation which overall affecting their financial bottom line.

Thorough and precise documentation is the basis of all medical coding, billing, and claims submission, and follow-ups. With the correct medical and billing coding of OB-GYN services, it makes it easy and hassle-free in receiving accurate payment which in turn, hinges around quality, precise, and thorough clinical documentation.

The 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

With the help of a professional medical billing service, you have paperless billing, which streamlines the billing process. This assures patient privacy, remains organized, and ensures client satisfaction. Digital documentation means you do not have to have extra storage space, and costs are reduced on office supplies. Finally, accuracy and efficiency are assured with the electronic billing option.

OB-GYN Practice Needs Super-Efficient Coding Process

An overworked coder who is in a rush to beat peak hour traffic and a busy OB-GYN physician is the perfect recipe for coding errors and penalties. Most OB-GYN practices have more than one physician to handle their anytime emergency care the specialty demands. Looking at their schedule, it is highly recommended to get a medical billing coding company on board.

You could either stick to middle-of-the-road coding and lose hundreds of dollars every month or work with expert OB-GYN medical billers and coders who can drive up the speed, accurateness, and efficiency of your coding process.

Benefits Of Hiring OB-GYN Billers

Our Specialty Medical Billers Have Many Tasks:

  • Understanding Fee Schedules, Commercial Payer Regulations, And Medicare / Medicaid Guidelines.
  • Answering Patient Queries Regarding Billing
  • Compliance With All HIPAA Regulations And Rules To Assure Accurate Billing.
  • Data And Charge Entry
  • Management Of Accounts Receivable
  • Physician Credentialing For The Healthcare Facility
  • HCPC, ICD-10, And CPT Coding
  • Payment Posting
  • Electronic Data Interface
  • Handling Denials Through Dedicated Revenue Management

Final Thoughts

OB-GYN Medical Billing Companies are an efficient way that caters to many specialties for their revenue cycle management in the medical fields including OB-GYN. As this specialty deals with voluminous claim filings, they are more proficient at dealing with all sorts of issues and errors such as maternal-fetal medicine, gynecological urogynecology, and pelvic reconstructive surgery, menopausal and geriatric gynecology, family planning claims, etc.

Outsourcing medical billing companies keep the payment cycle to a maximum of 25 days. Their team is well versed with HCPCS codes such as J2675, G0101, Q0091, and CPT code 59514 and the complicated services and reimbursements associated with these. With increased medical cases, competition, and billing and coding regimens, there is hardly any reason that you should not choose outsourcing medical billing company for all your OB-GYN billing and coding needs.

Medical Billers and Coders (MBC) is a leading outsourcing medical billing company providing complete revenue cycle services. To know more about OB-GYN billing services, contact us at