OB/GYN Medical Billing Services
OBGYN MEDICAL BILLING SERVICES
ProHealth is a team of experienced medical professionals
WE PROVIDE THE BEST PRACTICES FOR OBGYN MEDICAL BILLING SERVICES AND REVENUE MANAGEMENT AT EACH STEP.
OBGYN Medical Billing Services & Coding Complexities
- Changes in CPT codes and the implementation of ICD-10 have created billing and coding challenges for OBGYN practices.
- These changes have led to an increase in claim denials and delays in the revenue cycle.
- Staying updated with coding requirements is essential for accurate documentation and patient history recording.
- OB/GYN billing includes various services: Obstetrics, Gynecology, Anesthesia, and Family Planning.
- Even simple OB/GYN procedures can pose billing challenges.
- Billing errors are common in OB/GYN practices due to the complexity of services.
OBGYN Billing Nuances and NEO MD’s Solutions
Specialized OB/GYN Billing
We handle complex OB/GYN billing with expertise, covering everything from routine visits to specialized procedures.
Deep Understanding of OB & GYN
Our team is well-versed in services like colposcopy, antepartum/postpartum care, and C-section billing.
Experienced Billing Professionals
With years of OB/GYN billing experience, our certified coders ensure accuracy and maximum reimbursement.
Claim Tracking & Follow-Up
We monitor submitted claims weekly to ensure timely payor response and fair resolution.
Revenue Growth Strategies
We provide customized solutions to boost revenue and improve your financial performance.
Commitment to Your Success
Your practice’s growth is our priority — we work as an extension of your team.
We Cover a Range of OBGYN Medical Billing Services
Our OBGYN billing experts are capable of addressing the following specialties:
- Pregnancy
- Maternal-Fetal Medicine
- Anesthesia
- Abortion
- Family Planning
- Gynecological Uro-gynecology
- Advanced Laparoscopic Surgery
- Reproductive Endocrinology and Infertility
- Pediatric and Adolescent Gynecology
- Pelvic Reconstruction Surgery
- Menopausal and Geriatric Gynecology
Here Is How We Can Revive Your OB/GYN Practice
ProHealth is a team of experienced medical professionals
- Our COBGC-Certified OB/GYN coding specialists increase coding accuracy
- Our certified OBGYN billers are experienced in split billing methods
- Our round-the-clock workflow ensures quick submission and follow-up of claims
- Experience in medical billing for surgical procedures performed by OBGYN specialists
- Proven expertise in assigning OB care codes
- Strong knowledge of billing antepartum care, deliveries, and postpartum care procedures
- 98% first pass claim acceptance rate
- See a drastic reduction in payer denial rates after working with us
- Detailed and prompt medical billing reports
OBGYN Billing Cheat Sheet
- Vaginal delivery only (59409)
- Postpartum care only (59430)
- C-section delivery only (59514)
- For multiple deliveries, use modifier 22 and the appropriate delivery code. Documentation is required for each delivery type.
- Postpartum care begins after hospital discharge and extends to 5 days for vaginal delivery or 90 days for a C-section.
- The global OB code should be used to bill all visits related to pregnancy (excluding inpatient hospital stays for complications).
- Do not use individual E/M codes for pregnancy-related visits.
This Is How We Handle Your OB/GYN Claims
Record Collection & Review
Superbills and medical records are collected from the provider’s office and thoroughly evaluated to ensure accurate billing.
Insurance & Demographics Verification
Patient demographics are verified, and insurance benefits are investigated for eligibility and coverage.
Chart Abstraction by Certified Coders
Certified Professional Coders (CPCs) extract information from charts using medical and diagnostic reports to assign correct CPT codes and modifiers.
Charge Entry Submission
Coded claims are forwarded to the charge-entry department for processing and submission.
Claims Audit for Compliance
Audits are performed to ensure all claims meet Medicare, Medi-Cal, OSHA, and HIPAA compliance standards.
Claims Transmission
Claims are transmitted electronically to the clearinghouses for routing.
Clean Submission to Insurance
Only clean, unambiguous claims are submitted to insurance companies to reduce rejections and delays.
Payment Adjudication Monitoring
Payments are tracked to ensure timely and correct adjudication by payers.
Payment Entry
Client payments are recorded in the appropriate system (EMR/EHR/Excel) accurately and promptly.
AR Follow-Up
Accounts Receivable (AR) team consistently follows up on all outstanding or delayed medical claims.
Denial Management
Rejected claims are reviewed, corrected, and resubmitted by the denial management department for resolution.
NEO MD Medical Billing Final Thoughts
NEO MD is concerned with your OBGYN medical practice’s success. Your office will be able to schedule appointments, monitor payments, and keep data more conveniently by utilizing our advanced systems. We are pleased to work with your EHR in the office because we have experience with many different EHRs in the market.