Understand Split OB GYN Billing to Avoid Duplicate Billing

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

Coding for Opioid Use and Counseling

For any case of pregnancy in which a woman uses opioids during the pregnancy or postpartum period, codes from subcategory O99.32, Drug use complicating pregnancy, childbirth, and the puerperium, should be assigned. A secondary code from category F11, Opioid-related disorders, should also be assigned to identify the manifestation of Opioid Use and Counseling. Opioid Use […]

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 […]

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 […]

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 […]

Avoiding Claims Denials for OB/GYN

Claims Denials for OB/GYN are a thorn in the flesh for most medical practices. However, some specialties have an exceptionally high denial rate. Unfortunately, OB/GYN is one of them. Denial rates in this specialty are the highest, at 22.42%. Denials are an everyday occurrence for most OB/GYN centers. OB/GYN billing and coding present unique challenges […]

OB-GYN ICD 10 Coding Updates & Changes

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

Boost your OB-Gyn Cash Flow with Simple Steps

OB-GYN Cash Flow is a critical consideration as the services provided by physicians have come under scrutiny after repeated frauds involving necessary procedures and care. In OB-GYN practice, the current billing scenario is changing, and it’s difficult for individual practices to bill for all the services provided and maintain quality care. The CMS has shifted […]

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 […]

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 […]

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