OB-GYN Billing: The Cross Road Between Over Coding and Perfect Coding

Efficient billing practices enable stronger financial health for OB-GYN billing with appropriate reimbursement being at the forefront. The focus is to ensure denial of free claims and a subsequent increase in revenue for OB-GYN Billing, has been significant for the clients. Gain an edge over the competitors with a smooth billing process that will leave your practice profitable.

Outsourcing medical billing and coding understand the intricacies that go into the process for OB-GYN billing services and this is where our experience 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.

Your 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 disasters. Most OB-GYN practices have more than one physician to handle the anytime emergency care the specialty demands

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

Why Do OB-GYN Practices Over-Code?

There are two ways that providers over-code either through up-coding of unbundling of services.

Over coding occurs when a provider code for a more serious, and more expensive, procedure than was actually performed. Unbundling is the breaking out of a group of procedures that are considered all-inclusive into separate charges. If your practice is knowingly up-coding or unbundling stop it right away; you are breaking the law.

If you are billing and coding accurately, you earned every penny of that reimbursement. It may add more details to gather and follow up than you want or need in your busy practice, but you owe it to yourself to defend your earnings.

How OB-GYN Billing Can Help With Right Coding?

OB-GYN healthcare professionals very well know the effects of unfinished, delayed, or wrong clinical documentation overall affecting the financial bottom line, performance-improvement activities such as review of serious cases, and compliance with federal and state governing laws. 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 underpaid claims
  • Working on pre-authorization for approaching procedures

Hence, OB-GYN billing and coding must be done by experts who are aware of components comprised in the global surgical package (as per CPT and Medicare), are capable of affixing the appropriate CPT modifiers, and are skilled at detailing of repeat PAP smear payments.

Bottom Line

OB-GYN medical billing companies are an efficient way that caters to numerous specialties for their revenue cycle management in the medical fields including Ob/Gyn. As this specialty deals with voluminous claim filings, they are adept at dealing with all sorts of issues 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 regimen, there is hardly any reason that you should not choose this team for all your OB-GYN billing and coding needs.