Understand Split OB GYN Billing to Avoid Duplicate Billing

Challenges of OB GYN Billing Coding and billing for maternity obstetrical care are quite a bit different from the rest of the medical specialties. Maternity care services typically include antepartum care, delivery services, as well as postpartum care. Depending on the patient’s circumstances and insurance carrier, the provider can either, submit all rendered services for […]

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Controlling Gestational Diabetes

Gestational diabetes is diabetes that a woman can develop during pregnancy. When you have diabetes, your body cannot use the sugars and starches (carbohydrates) it takes in as food to make energy. As a result, your body collects extra sugar in your blood. We don’t know all the causes of gestational diabetes. Some—but not all—women […]

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ICD-10-CM Guidelines for Coding and Reporting FY 2020 – Obstetrics

The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health and Human Services (DHHS) provide the guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). These guidelines should be used as a […]

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CPT Changes for OB-GYN in 2020

With the new 2020 ICD-10-CM code set now available, we know that there have been more than 740 different changes. More than 30 of the changes for 2020 actually apply to Obstetrics and Gynecology (OB-Gyn) correction, from changes and updates to coding multiple gestation pregnancies to coding for obstetric surgical wound infections. Here’s a closer […]

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Avoiding Claims Denials for OB/GYN

Denials are a thorn in the flesh for most medical practices. But there are some specialties that have an exceptionally high denial rate. OB/GYN is, unfortunately, one of them. Denial rates in this specialty are the highest at a whopping 22.42%. Denials are an everyday occurrence for most OB/GYN centers. OB/GYN billing and coding comes […]

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2019 OB-GYN ICD 10 Coding Updates & Changes

With the year 2019 approaching; there has been a buzz of new medical billing codes. The year 2018 has been hectic for the medical and healthcare industry professionals as ICD-10-CM codes introduce nearly 500 changes, 33 of them in Obstetrics and Gynecology; as well as in several other specialties. So what’s new to expect in […]

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OB-gyn: Boost your Cash Flow with Simple Steps

In Ob-gyn practice, the services provided by physicians have come under security after repeated frauds under necessary procedures and care. The Current billing scenario is changing and it’s somewhat difficult now for individual practices to bill for all the services provided and also provide quality care. The CMS has created a shift in billing from fee […]

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Easy Steps for OB-GYN Facility to Boost Your Practice Revenue

All-day long, the healthcare professionals working in the Ob-Gyn specialty face perplexing issues of healthcare payer requirements which can affect their income cycle. Commercial insurance payers often change filing requirements, while in many states, the Medicaid reimbursements and follow-up processes are challenging, antiquated, or both. As a result, Ob-Gyn facilities often look for a medical […]

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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 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 […]

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Childbirth Complications Which Leads To Billing Challenges For Your OB-GYN Medical Billing

One of the most challenging areas for coders in medical coding and billing companies is obstetrics and gynecology medical billing and coding. Effective from October 1, 2016, the guideline for “Prenatal outpatient visits for high-risk patients” has been replaced with the title of “Supervision of High-Risk Pregnancy.” many OB-GYN Medical Billing practices have faced difficulties […]

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