Understanding Obstetrics and Gynecology
Obstetrics and gynecology (OB/Gyn) is a medical field that specializes in the treatment of female reproductive system diseases and the care of pregnant and postpartum women. In addition, OB/Gyn focuses on women's health concerns such as infertility, menopause, and hormonal imbalances.
OB/Gyn practitioners are trained to perform various medical procedures including surgeries, prenatal and postnatal care, and routine health checkups for women. With their expertise and experience, they provide comprehensive care to their patients, ensuring their overall reproductive and gynecological health.
OB/GYN billing challenges
Billing and coding for Ob/Gyn services can be challenging due to international claims, varying coverage terms, and multiple tests conducted at different facilities. Many OB/GYN practitioners lack access to the billing support provided by large hospitals, which makes it even more crucial to avoid common billing and coding mistakes. Some of these errors include:
• Failing to bill separately for services provided during the global period
• Misunderstanding that pregnancy coverage is an add-on to an existing insurance plan
• Dividing pregnancy coverage between inpatient and outpatient services
• Improper documentation of policies and services rendered
• Understanding the factors that determine the medical necessity of different levels of ground and air ambulance services
• Recognizing that diagnostic laparoscopy is a component of all laparoscopic OB/GYN surgical procedures.
Specialized OB/GYN Billing and Coding Services by OneMed Billing
At OneMed Billing, we offer specialized OB/GYN billing and coding services to hospitals, physician practices (including OB/GYN), and medical billing companies across all 50 states. With over a decade of experience working with obstetricians and gynaecologists, our billers and coders possess the knowledge and expertise necessary to improve your revenue and accelerate your growth.
Our certified coders are well-versed in CMS and AMA ICD-9/10, CPT, and HCPCS coding guidelines. They are also certified by the American Academy of Professional Coders (AAPC), ensuring that they stay up-to-date with the latest industry standards. Our knowledge of OB/GYN billing and coding includes the following specialties: Maternal-Fetal Medicine (MFM), Infertility and Reproductive Endocrinology, Pelvic Reconstructive Surgery and Gynaecological Uro-gynaecology, Laparoscopic Advanced Surgery, Planned Parenthood, Children's health and adolescent gynaecology, Geriatric gynecology, and menopause.
OneMed Billing's Expert OB/GYN Billing and Coding Services
At OneMed Billing, we understand the challenges faced by OB/GYN practitioners, including the constantly changing policy regulations, ICD revisions, and the sensitive nature of their specialty. Our expert coders select the most relevant codes from operating reports of actual surgical cases. We work with you around-the-clock to avoid issues caused by incorrect modifier usage, and we train your internal billing specialist to do the same.
Our qualified billing and coding specialists aim to reduce the number of denied claims while increasing refunds. We achieve this by emphasizing efficient, streamlined procedures that reduce the time required to accurately bill for OB/GYN services.
We have developed our methodology by incorporating modern technologies and strictly adhering to coding best practices and guidelines. The OneMed Billing team is dedicated to providing data-driven solutions that decrease denial rates and increase revenue.
Expert OB/GYN Billing and Coding Services for a Faultless Reimbursement Procedure
At OneMed Billing, we specialize in providing faultless reimbursement procedures for businesses with expert OB/GYN billing and coding services. Our medical billing process covers patient demographics entry, insurance verification, insurer authorization, coding, billing, and account reconciliation. We ensure that claims are not denied by following up on accounts receivable and obtaining prior authorization consistently.
Our denial management team prioritizes shifting your focus from denial management to denial prevention. We strive to make the billing, coding, claim submission, and payment posting processes as seamless as possible. Our team of experts is:
• Certified by the American Association of Professional Coders (AAPC)
• Knowledgeable in medical billing programs like eClinical Works, Allscripts, Athena, Lytec, Medic, Misys, Medisoft, NextGen, and others
• Proficient in using coding tools such as FLASHcode, EncoderPro, CodeLink, etc.
• Capable of using CMS-recommended standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding
• Experienced in processing medical bills for major commercial carriers such as United Health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, and others
• Equipped to negotiate successfully regarding Medicare and Medicaid policies that vary by state
Our clients typically see a 32% increase in revenue and a minimum of a 15% decrease in denials. We achieve this by leveraging our expertise, process rigor, cutting-edge technology, and a highly trained team.