Outsource  OB-GYN Medical Billing to Boost Practice Revenue

The medical specialty of obstetrics and gynecology is dedicated to diagnosing and treating several disorders affecting the female reproductive system and caring for pregnant and postpartum women. It also covers a broad spectrum of women-specific health issues such as ovulation, menopause, infertility, and hormonal issues. Obstetrics and gynecology generate several claims due to family planning, anesthetic, and surgeries. As a result, many doctors and surgeons might not be able to handle internal OB-GYN medical billing. Therefore, choosing to work with a reputable outsource OB-GYN medical billing company may significantly increase the revenue cycle of your practice.

Why to outsource OB-GYN medical billing to a reliable billing partner?

For OB/GYN clinics, medical billing may be a major headache. These practices may experience revenue loss and poor management due to the complexity of administrative chores, the patient collection process, a lack of standardization, billing, and many norms and rules. Practitioners and clinics frequently lack access to the skilled labor force needed to complete medical billing procedures. Since providers treat patients from various medical, insurance, age, and demographic groups, assigning codes and other specifications to each patient is crucial. Healthcare providers jeopardize their cash flow and revenue if the revenue cycle and billing system are not expertly handled.

Outsourcing OB-GYN Billing Services is the solution to these problems. With the help of outsourced OB-GYN medical billing services, you’ll be able to take advantage of a web-based solution to all of your medical billing problems. Due to the complexity of OB-GYN billing and coding, it makes sense to outsource their administration to professional OB-GYN medical billing services for the efficient operation of revenue cycle management (RCM). Several OB/GYN clinics have encountered medical billing and coding challenges as a result of modifications to current CPT codes and the incorporation of ICD-10, which have increased claim denials.

The following strategies can be used to stop claim denials and start increasing revenue for your OB/GYN practice.

Utilizing technology to decrease claim denial risks

Practices are under a lot of stress as a result of the complexity of medical billing since many treatments may have errors like duplicate coding and billing or inconsistent CPT codes. Therefore, many practitioners are suggesting using technology to streamline your billing process.  Technologies have the potential to make significant changes in this field. For example, it may automatically update all of the CPT codes in the practice, reducing the likelihood of someone using an out-of-date CPT code. Staff personnel may be directed by technology through the critical procedures of figuring out patient eligibility, which can aid in prior authorization. Employees handle claims according to a step-by-step process that ensures the right information is acquired and verified before a claim ever exits the practice. 

Keep you updated about new coding changes

One of the best strategies to prevent claims from being improperly denied so you may maximize reimbursements is to stay informed about code changes that affect OB/GYN practices. Because CPT codes have undergone several changes over the past few years, it’s imperative to stay ahead of the curve. For instance, a new standard CPT code, 58674, has been introduced to the list of CPT codes to describe surgical ablation of fibroids. So, working with expert OB-GYN medical billing services has several advantages since they keep you up to date on CPT code changes. Therefore, it will assist you in submitting accurate claims quickly and efficiently to obtain the most reimbursement.

ICD-10 Billing Guidelines for OB/GYNs Clinics

Although most practices have transitioned to ICD-10, OB/GYN clinics should still follow some ICD-10-specific guidelines. To avoid rejections, your practice should abide by the following rules:

• Be aware that codes might vary depending on the trimesters.
• There is the paperwork necessary for some trimesters. For example, the new ICD-10-CM code O09.01 can be used to evaluate the first trimester of a pregnancy with a history of infertility.

• If you are aware of the cause of your pelvic pain, you can note it.
• Always record any problematic pregnancies in elderly patients.
• Consider whether a woman’s age may affect her delivery if she is above 35.

Final verdict:

Even minor errors might lead to claim rejections and denials. Therefore, hiring a dependable outsource OB-GYN medical billing company may be a sensible solution for your clinic. Since it might be difficult to find experienced in-house billing and coding professionals with experience in obstetrics and gynecology billing and coding.  So, many OB/GYN clinics choose to outsource their billing. Therefore, outsourcing might free up your practice to focus on patient care while someone else takes care of the challenging billing and coding tasks. In the field of OB/GYN medical billing, Medcare MSO stands out as a leading provider of billing and coding services. Whether you’re beginning a new practice or want to increase the revenue of an existing one, contact us today to see how we can assist you in maximizing the revenue of your practice.