OB/GYN Billing & Coding Services
From Patient Access to Denial Management, we bring best practices at each step of the OB/GYN revenue cycle.
Obstetrics & Gynecology is a branch of medicine specializing in women’s care during pregnancy and childbirth and diagnosing and treating female reproductive organs’ diseases. It also specializes in other women’s health issues, such as menopause, hormone problems, contraception (birth control), and infertility.
An OB/Gyn practice does various procedures ranging from surgeries, pre & postpartum healthcare, and regular health screenings for women.
Complexities in OB/GYN billing
Ob/GYN billing & coding can be challenging to most billers & coders due to the global claims, widely varying coverage terms, and multiple tests performed at numerous facilities. Apart from this, many OB/GYN practitioners lack the billing support provided to large hospitals. Here are a few standard billing & coding errors that occur in OB/GYN billing & coding:
- Overlooking separately billable services rendered during the global period
- Lack of understanding that pregnancy coverage is an amendment to an existing insurance plan
- Pregnancy coverage includes inpatient & outpatient services and is split between them.
- Improper documentation of the policies & services provided
- It requires a clear understanding of the criterion that determines the “medical necessity” to code for the various levels of ground and air ambulance services used
- Understanding that all laparoscopic OB/GYN surgical procedures involve diagnostic laparoscopy
Our Expertise in Medical Billing & Coding for OB/GYN Clinics
At MBW, we have a client base that extends across all 50 states, covers a wide range of hospitals, physician practices(including OB/GYN), and medical billing companies. Our team of OB/GYN billers & coders employ their experience and knowledge acquired through a decade of working with obstetricians & gynecologists, improving your revenue & accelerating growth. Our coders are proficient in ICD-9/10, CPT, HCPCS coding guidelines provided by CMS and AMA, and are certified by the American Academy of Professional Coders (AAPC). Our expertise in OB/GYN billing & coding covers specialties including:
- Maternal-Fetal Medicine
- Reproductive Endocrinology and Infertility
- Gynecological Uro-gynecology and Pelvic Reconstructive Surgery
- Advanced Laparoscopic Surgery
- Family Planning
- Pediatric and Adolescent Gynecology
- Menopausal and Geriatric Gynecology
Applying best practices for OB/GYN Billing & Coding Services
At MBW, we recognize the challenges faced by OB/GYN providers, such as rapidly changing policy rules, ICD updates, and the sensitive nature of your specialty. Our certified coders are capable of choosing appropriate codes from operative reports of real-life surgical cases. We work with you 24/7 to prevent problems caused by incorrect use of modifiers, as well as educate your in-house billing specialist on how to avoid them.
Our professional billing & coding experts work to prevent claim denials while increasing the number of reimbursements. We do this by focusing on efficient, streamlined processes that decrease the amount of time needed to correctly bill for Ob/Gyn services.
We have built our approach by adhering stringently to coding guidelines & bests practices and applying modern technology. The MBW team focuses on providing data-driven solutions that help reduce denials and increase revenue.
Ready to take your business to the next level?
Get in touch today and receive a complimentary consultation.
Ready to take your business to the next level?
Get in touch today and receive a complimentary consultation.
Benefits of Our OB/GYN Billing and Coding Services
Streamline Billing Processes
Combining complete billing processes with diligent follow-up, we handle patient demographics, insurance verification, authorizations, and manage accounts receivable to minimize claim denials.
Shift Focus to Denial Prevention
Transitioning from managing to preventing denials, we streamline the entire billing cycle for enhanced efficiency.
Expertise with Major Insurers
Skilled in processing claims with insurers like United Health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, and Medicare, we adeptly manage a varied insurance landscape.
Proficiency in Medical Billing Software
Our team is proficient in software like eClinical Works, Allscripts, Athena, Lytec, Medic, Misys, Medisoft, NextGen, and coding tools like EncoderPro, Flashcode, CodeLink, ensuring accurate billing practices.
Compliance and Risk Management
By applying our expertise, clients typically see a 30% improvement in revenue and a reduction in denials by at least 10%, enhancing their practice’s financial health.
Improving Financial Outcomes
Maintain compliance with healthcare regulations and minimize legal risks.
Significant Cost Reduction
Achieving substantial cost savings, typically up to 50-60%, by optimizing billing and coding processes. This leads to a significant reduction in administrative costs, contributing to enhanced operational efficiency.
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Elevate your OB/GYN practice’s financial health with our expert billing and coding services. Contact us now to transform your revenue cycle and focus more on patient care.
