OB/GYN Billing & Coding Services

Obstetrics & Gynecology, a medical specialization dedicated to women’s healthcare during pregnancy, childbirth, and addressing diseases related to female reproductive organs. It encompasses a broader spectrum, extending to women’s health concerns like menopause, hormone-related issues, contraception (birth control), and infertility.

An OB/Gyn practice conducts a diverse array of procedures, including surgeries, pre & postpartum care, and regular health screenings tailored for women.

Complexities in OB/GYN Billing

OB/GYN billing & coding poses challenges due to global claims, diverse coverage terms, and multiple tests conducted across various facilities. Smaller OB/GYN practices often lack the billing support available to larger hospitals, resulting in typical billing & coding errors, such as:

Oversights in billing separately for services rendered during the global period

Misinterpretation of pregnancy coverage as an amendment to existing insurance

Incomplete documentation of policies & services offered

The necessity to discern the “medical necessity” criterion for coding different levels of ground and air ambulance services used

Recognition that all laparoscopic OB/GYN surgical procedures involve diagnostic laparoscopy

SPECIALIZED BILLING Pvt.Ltd. Expertise in OB/GYN Billing & Coding

At   SPECIALIZED BILLING, our expansive client base spans all 50 states, encompassing hospitals, OB/GYN practices, and medical billing companies. Our team of seasoned OB/GYN billers & coders, armed with a decade’s experience in collaboration with obstetricians & gynecologists, aims to enhance your revenue stream and foster accelerated growth. Our coders exhibit proficiency in ICD-9/10, CPT, HCPCS coding protocols endorsed by CMS and AMA, certified by the American Academy of Professional Coders (AAPC). Our expertise spans various OB/GYN specialties:

• 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
• Implementing Best Practices for OB/GYN Billing & Coding Services

At SPECIALIZED BILLING, we comprehend the challenges encountered by OB/GYN providers, including evolving policy rules, ICD updates, and the intricacies of your specialty. Our certified coders adeptly select appropriate codes from actual surgical case operative reports. We offer round-the-clock support to avert problems arising from erroneous modifier usage and conduct educational sessions for your in-house billing specialists.

Our adept billing & coding professionals focus on averting claim denials and amplifying reimbursements. This emphasis on efficient, streamlined processes reduces the time required for accurate billing of Ob/Gyn services.

We’ve structured our approach meticulously by rigorously adhering to coding guidelines and deploying modern technology. The SPECIALIZED BILLING team concentrates on data-driven solutions that curtail denials and elevate revenue.

Benefits of our OB/GYN Billing and Coding Services

We infuse precision and finesse into our OB/GYN billing and coding services, constructing an impeccable reimbursement process for your practice. With meticulous entry of patient demographics, insurance verification, authorizations, coding, billing, and account reconciliation, our medical billing process becomes an asset to your organization. We ensure consistent follow-up on accounts receivable and prior authorizations to avert claim denials.

Our denial management team’s prime focus is transitioning from denial management to denial prevention. We endeavor to introduce a seamless billing, coding, claim submission, and payment posting process. We bring forth a team of specialists who possess:

• Certification from the American Association of Professional Coders (AAPC)
• Proficiency in medical billing software like eClinical Works, Allscripts, Athena, Lytec, Medic, Misys, Medisoft, NextGen, among others
• Expertise in coding software such as EncoderPro, Flashcode, CodeLink, etc.
• Proficiency in applying standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding in accordance with CMS guidelines
• A proven track record in processing medical bills with leading commercial carriers such as United Health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
• Capability to negotiate effectively with Medicare and state-specific Medicaid policies