We understand the complexities and strive to provide financial strength to your OB-GYN practice. We cover every change in the healthcare environment to handle all the issues presented by OB-GYN billing and modifiers.
An OB-GYN facility sees many patients — some requiring extensive care and some brief care. Because of the variety of services, medical billers and coders have to process many claims and understand all the parts that go into bundled claims to avoid under- and over-coding, both of which violate regulations and can be disastrous for the practice. This is why our company has a team of experienced billers and specialized coders so claims are submitted without error.
What Makes OB-GYN Complicated for Medical Billing?
Global Claims
Some payers bundle care during pregnancy and childbirth into one claim. This means the practitioner provides services for months and gets paid after months. Every claim is a large sum, making it important that each is reimbursed and not denied.
Varying Coverage
Obstetrics and gynecology involve expensive services, so these areas are most likely to exclude or limit coverage. Practitioners must evaluate coverage carefully and not bill for services not covered.
Multiple Facilities
OB-GYN facilities may deal with the same patient in the hospital or clinic, each requiring careful coding. Billers must recognize which procedures are billable and document everything properly.
Specialized Revenue Cycle Management
We have a dedicated team of specialists that can counter every hurdle and provide full-suite RCM services for greater financial security.
Protecting Your Revenue Is Our Goal
While we focus on revenue generation, you can concentrate on patient care and be free from the paperwork of coding, billing, auditing, and compliance. We make sure claim submission is done correctly and denied claims are managed properly, so you receive the maximum payout for every service. We only charge a small percentage of the fee we bill for you.
Comprehensive & Customizable Services
We understand that every practitioner has their own needs, so we offer customized services. We use proprietary software that makes patient scheduling and insurance confirmation simple and updates with yearly code changes. Our certified and experienced team handles every aspect of billing so you don't have to worry about denials and rejections.