We understand the complexities and strive to provide financial strength to your OB-GYN services. We cover every change in the health care environment to handle all the issues that are presented by OBGYN billing and modifiers.
OB-GYN facility has to see many patients. Some of them require extensive care and some require brief care. Because of the variety of services provided, 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. This means they have to focus and not charging too much or too little. Both of these are a violation of regulations and can be disastrous for the practice. This is why our company has a team of experienced billers and specialized coders so that claims are submitted without any error.
OB-GYN is complex due to many reasons just like any other field of medicine. The complication is because of the different codes and rules for each payer and insurer. Here in the section below you will see some of the reasons why it is proven beneficial to outsource OB-GYN billing.
Some insurers or other payers bundle care during childbirth and pregnancy into one claim. This means that the OBGYN practitioner has to give services to the patient for months and get the payment after months. Every claim is of a large sum and this makes it important that every claim is reimbursed and not denied.
Obstetrics and gynecology are two fields of medicine that have very expensive services and due to this these areas are most likely to exclude or limit coverage. Many of the services not excluded have rules specifying things that will be covered or not. This is why the practitioners have to evaluate and made this clear that they don’t make any bill for services that are not in the coverage.
OB-GYN facilities may have to deal with the same patient in the hospital or in the clinic, each of them requires careful coding. Billers have this responsibility to recognize which procedures are billable and make sure every information is documented properly.
We have a dedicated team of specialists that can counter every hurdle and provide full suite RCM services so that you have more financial security.
Revenue for an obvious reason important for a business to prosper and work. We understand and focus the most on your revenue. While we focus on revenue generation you can concentrate on patient care and be free from all the paperwork involved in coding, billing, auditing, compliance, and so on. We make sure that claim submission is done correctly and denied claims are managed properly so that you get to pay out maximum for every service rendered. We only charge a small percentage of the fee we bill for you.
We offer comprehensive and customizable services. We offer customized services because we understand that every practitioner has their own needs. With manpower, we use proprietary software that makes patient scheduling, insurance confirmation simple, and also our software updates with yearly changes of codes. We have a certified and experienced team of billers and coders that handle every aspect of billing with ease and make sure that you don’t have to worry about the denials and rejection because they won’t occur anytime soon.