Many physicians and healthcare organizations struggle with billing and collection. Establishing consistent billing practices is critical in creating a smooth provider reimbursement procedure. OB/GYN billers must deal with a common and aggravating medical billing issue when a patient abruptly switches to another physician during pregnancy. Furthermore, numerous concerns and complications faced by pregnant clients and postpartum situations make OB/GYN medical billing a significant challenge.
Following the correct OB/GYN medical billing stages with modern techniques will undoubtedly result in guaranteed reimbursements and a boost in your revenue:
Understand and Stay Up to Date On Coding Updates
Staying up to date on coding latest updates that impact gynecology practices is one of the keys to understanding and guaranteeing that claims aren’t consciously denied. CPT codes have undergone several changes in the last decade, and it is critical to remain aware and up to date. When a practice fails to keep up with CPT coding, it risks losing thousands of dollars. It is essential to work with billing and coding experts who are up to date on their expertise.
Track Denials To Determine Problematic Areas
Improve your OB/GYN healthcare billing efficiency by developing a system that tracks denials. Once you get a rejection, you should make notes of the purpose of the claim being denied. Maintaining track of these things allows you to identify your most familiar mistakes and enhance your procedures. Most common reasons for denials:
- Inadequate documentation
- Coding for unused services or equipment
- Inadequate physician credentialing
Update Your Billing Cycle
How is your billing cycle going? It is a common area where practices lose money. Combining and standardizing your revenue cycle can help in streamlining key processes, avoiding using multiple software, and organizing your denial management processes. Simply modifying your billing cycle can increase workflow efficiency and monthly income.
Reduce Denials And Time Spent On Claims In A/R
Minimizing claim denials and duration that claims spend in accounts receivable is essential to enhance efficiency in your practice. Of course, dealing with these issues in-house is frequently difficult and expensive. Reducing your denials rate necessitates claims auditing, solving complex coding issues, and expediting the denial recovery process, all while integrating practices to protect your practice from upcoming denials. Outsourcing billing and coding is more cost-effective for many OB-GYN practices and tends to minimize denials, minimize unnecessary claims spent in A/R, and enhance revenue inflow. Working with a company specializing in OB-GYN billing and coding is especially advantageous.
Preventing and Correcting Data Entry Errors
Small medical billing mistakes can lead to major medical billing issues. Spelling errors in a patient’s name, generating a duplicate bill, mismatched diagnosis and treatment data, incorrect patient data, and inaccurately entering dates of service are just a few of the mistakes that a medical biller can create during the medical billing procedure, and each one can cause problems later on. It is critical to pay attention to details to improve efficiency. Even minor mistakes can lead to your practice being severely underpaid for your services.
Keep Track Of Payers’ Filing Deadlines
Do you want to increase the revenue of your OB/GYN practice? Keep track of the payer’s filing timeframes. Delayed claim submissions are inappropriate and a major cause of denials. And those rejections are costing you money in your practice. For example, Medicaid has a 95-day filing deadline from the patient’s service date, whereas Medicare has a 365-day deadline from the service date. Filing deadlines differ from payer to payer, so ensure you’re up to date on the filing deadlines for the payers with whom your office works.
Failure to comply with timely filing deadlines can result in significant denials with high dollar values. Simply not missing deadlines can result in a substantial increase in practice income. If you work with various insurance companies, you must also ensure that all the providers in your practice are credentialed with those insurers.
Outsourcing your OB/GYN medical billing is a good choice, but only if you select the right company. Choose a company that values its customers and prioritizes excellence, transparency, and customer service. Choose us for your medical billing outsourcing needs. Increase your OB/GYN practice’s cash flow while decreasing account receivable days. We provide OB/GYN billing services with precision while establishing a flawless reimbursement process for your practice. We understand the importance of thorough medical billing and coding, particularly for obstetric and gynaecological billing.