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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, opportunities to maximize reimbursements are missed in virtually every family practice. 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 understands 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 up-to-date with the latest happenings in the healthcare industry, thus assuring no impacts on your practice’s bottom line. 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% charged 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 can OB-GYN Practice Billing Guidelines Help with correct coding?

OB-GYN healthcare professionals are well-versed in the effects of incomplete, wrong, or delayed clinical documentation, which can ultimately affect their financial bottom line.

Thorough and precise documentation is the basis of all medical coding, billing, claims submission, and follow-ups. Correct medical and billing coding of OB-GYN services makes receiving accurate payment easy and hassle-free, and it hinges on 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.

Legacy AR- Medical Billers and Coders(MBC)

OB-GYN Practice Needs Super-Efficient Coding Process

An overworked coder rushing 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 any emergency care the specialty demands. Looking at their schedule, getting a medical billing coding company on board is highly recommended.

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 speed up your coding process’s accuracy and efficiency.

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 to cater 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, 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 their complicated services and reimbursements. With increased medical cases, competition, and billing and coding regimens, there is hardly any reason that you should not choose an 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 that provides complete revenue cycle services. To learn more about OB-GYN billing services, contact us at info@medicalbillersandcoders.com or 888-357-3226.

FAQs

Why is outsourcing OB-GYN billing and coding a good choice for practices?

Outsourcing allows OB-GYN practices to streamline billing processes, improve accuracy, and reduce errors. A specialized billing service can handle claim submissions, follow-ups on rejected claims, and manage delinquent accounts while ensuring the practice adheres to payer requirements and maximizes reimbursements.

What are the common issues in OB-GYN billing that can affect reimbursement?

Common issues include under-coding, missing modifiers, incomplete documentation, and delayed claim submissions. These errors can result in lost revenue and claim denials, so expert coding and thorough documentation are essential.

How can precise coding improve the revenue cycle for OB-GYN practices?

Accurate coding on ICD-10 and CPT platforms ensures proper reimbursement and reduces the likelihood of claim denials. By partnering with a professional billing service, OB-GYN practices can maintain high coding standards, leading to an efficient revenue cycle with timely payments.

What tasks do OB-GYN medical billing companies handle?

OB-GYN medical billing companies manage fee schedules, comply with Medicare/Medicaid and commercial payer guidelines, conduct charge entry, handle accounts receivable, post payments, process electronic data, and manage denials through revenue management. They also support HIPAA compliance and answer patient billing queries.

What are the benefits of electronic billing for OB-GYN practices?

Electronic billing streamlines the billing process, reduces the need for physical storage, cuts office supply costs, and enhances accuracy and efficiency. It also ensures patient privacy and improves organization, allowing quicker claim submissions and reimbursements.

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