Streamline your Medical Billing Process through Efficient Gynecology Medical Billing Processes
- Prevent claim denials through accurate billing and coding.
- Keep updated with frequent changes in ICD-10, CPT, and HCPCS codes.
- Take proactive measures to address any issues arising from the incorrect application of modifiers.
Rapid Revenue Recovery
Revenue Increase
Denial & Rejection
Short Turnaround Time
Electronic Claim
Electronic Payment
Client Retention
First-Pass Resolution
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What are the critical challenges in Medical Billing for Gynecology?
Multiple Procedures
Coding for multiple procedures in one visit, like biopsies, ultrasounds, and examinations, is vital to prevent undercoding or claim rejection. Accurate documentation and coding ensure proper billing and maximize reimbursement.
High-Risk Pregnancies
Coding for high-risk pregnancies involves using multiple additional codes to capture all necessary details for correct payments.
Surgical Procedures
OB/Gyn surgical services require specialized coding, sometimes involving multiple codes to account for all procedures performed.
Global Billing
Correct application of global billing, which includes prenatal, delivery, and postpartum care in one charge, is crucial for accurate reimbursement. Properly documenting each phase of care ensures compliance and maximizes revenue.
Unique Features of Our OB/GYN Billing & Coding Services
Pro Medical Billing Solutions understands the unique challenges OB/GYN providers face, such as ever-changing policy regulations, ICD code updates, and the sensitive nature of this specialized field. Our certified coders are proficient in CPT and ICD-10 codes for gynecology. We work closely with you, providing proactive solutions to rectify issues arising from the improper use of modifiers. We also offer your in-house billing specialist educational support to prevent future errors.
Top-tier Revenue Cycle Management for Ob/Gyn Practices Across The U.S.
Billing and coding within the Ob/GYN field can be challenging for many professionals. This difficulty arises from the intricacies of global claims, widely varying coverage terms, and the performance of multiple tests at different facilities. Furthermore, numerous Ob/GYN practitioners lack the comprehensive billing support typically available to larger hospitals. Here are some common mistakes that may occur in Ob/GYN billing and coding:
- Neglecting services that are provided separately but billed under the same service during the global period.
- Not realizing that pregnancy is an addition to the existing insurance plan.
- Overlooking that Pregnancy coverage includes inpatient and outpatient services split in the two.
- Inadequate documentation of services rendered.
- Lack of thorough understanding of "Medical Necessity" criteria to code for ground and air ambulance services.
- Fail to Recognize that diagnostic laparoscopy is a base for every OB/GYN laparoscopic surgical procedure.
Common Errors in Ob/GYN Billing and Coding
Common errors in Ob/GYN billing and coding include incorrect use of modifiers and misclassification of procedures, which can lead to claim denials and reduced reimbursement. Ensuring accurate documentation and staying updated with coding guidelines is essential for avoiding these pitfalls.
Services Conducted Separately
Not checking for services performed separately but billed under the same service code during the global period.
Coverage Inclusions
Not realizing pregnancy coverage includes inpatient and outpatient services.
Medical Necessity
Not understanding the "Medical Necessity" parameters for coding ground and air ambulance services.
Pregnancy Add-Ons
We do not understand that pregnancy is an addition to the existing insurance plan.
Documentation
Improper documentation of services provided.
Diagnostic Laparoscopy
Diagnostic laparoscopy is not recognized as the base for every OB/GYN laparoscopic surgical procedure.
Outsource Gastroenterology Billing Services to Optimize Revenue through our Gastroenterology Revenue Cycle Management in the U.S.
From Gastroenterology Billing Solutions to Gastroenterology Denial Management, Pro Medical Billing Solutions empowers offer affordably Cardiology Billing Services to the Gastroenterology healthcare providers in the U.S.
Gynecology Billing Services: Optimize Your Medical Billing Process
Statistics That Define Our Company
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FAQ’s
Frequently Asked Questions
- Global Billing: Correct application of global billing, which includes prenatal, delivery, and postpartum care in one charge.
- Multiple Procedures: Coding for various procedures in one visit, such as biopsies, ultrasounds, and examinations, to prevent undercoating or claim rejection.
- High-Risk Pregnancies: Coding for high-risk pregnancies involves using multiple additional codes to capture all necessary details for correct payments.
- Frequent Code Updates: Follow the frequent changes in ICD-10, CPT, and HCPCS codes and provide thorough documentation to prevent claim rejections.
- Surgical Procedures: OB/GYN surgical services require specialized coding, sometimes involving multiple codes to account for all procedures performed.
- Incorrect Use of Global Billing Codes: This can lead to claim denials. Additional services like ultrasounds and treatments for complications must be coded separately.
- Under-Coding or Over-Coding: These issues can trigger audits and penalties.
- Misinterpreting Procedure Codes: For surgeries or procedures performed.
- Coding for Multiple Gestations: Requires an ICD-10 code to specify the number of babies involved. For high-risk pregnancies, CPT codes should depict the type of complication and the risk involved.
- Failure to Use Appropriate Modifiers can lead to claim denials or reduced payments.
Our Solutions
Our advanced Infrastructure and Strategies are designed to determine issues in your Revenue Cycle Management and improve them with precisely streamlined processes. We recognize that healthcare providers face a variety of challenges, including missed charges, under pricing, non-reimbursed errors, coding errors, and more, which can lead to significant revenue loss each year.
Therefore, we have designed our Medical Billing & Coding Services as well as Physician Credentialing to prevent any discrepancies and provide accurate deliverables, ultimately helping healthcare providers achieve optimal Revenue generation
Medical Billing & Coding Services
Physicians Credentialing Services
Revenue Cycle Management
AR & Denial Management Services
Medical Billing and Coding Audit
Verification & Prior Authorization
Ambulatory Surgical Center Billing
Contact Center & Patient Scheduling
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Medical Billing Software We Leverage for Revenue Cycle Management
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Our Esteemed Clients' Testimonials
For the past 15 months, Pro Medical Billing Solutions has consistently delivered incredible collection results, with first-pass rates surpassing industry standards. Their high responsiveness and effective Revenue Cycle Management services make them the go-to choose for any practice looking to take control of their billing.
Thanks to Pro Medical Billing Solutions, our practice has seen a significant improvement in our billing and collection processes. Their team is always up-to-date with the latest industry changes, and they have provided excellent support to our staff. We would highly recommend their services to any healthcare provider.
Pro Medical billing Solutions has numerous strengths. One of many is effective communication, which kept me aware of billing updates and claim processes. I am impressed with the swift claim processing and the turnaround time for claims. appreciate Pro Medical Billing Solutions for providing constant support.
As the CEO of Big Dog Pharma, I would highly recommend Pro Medical Billing Solutions for your Medical Billing and Coding processes. Over the past four years of collaboration, I have found them responsive, prompt, and helpful. Through our extension, we reduced our staff requirements and significantly improved our revenue stream.
Let's Outsource Medical Billing Services To Us
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Quick Turnaround Times
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Monthly Coding Audit
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Timely AR Follow-Up
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Revenue Cycle Optimization
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24/7 Helpdesk Support
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Expert Medical Billers
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Advance Cash Flow
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Reasonable Pricing
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Qualified Coding Auditors
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Real-Time Insurance Verification
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Auditing Complex Denials
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Unlimited Physician Credentialing
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30 Days Free Trial
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Denial Management
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Healthcare Analytics
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Medical Billing Consultation
Years of Experience
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Years of Experience
Providers
Software
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Thousands of providers growing their practice with PROMBS.
"Now It's Your Turn"!
Pro Medical Billing Solutions is doing an incredible job of boosting our revenue and improving our cash flow. They are excellent at communicating with the insurance providers and are prompt in addressing issues. We're immensely grateful for their wonderful efforts, and we give a thumbs-up to their entire team.