OB GYN medical billing tips to help your practice succeed

You’re a busy person who provides the highest-quality OB/GYN care to your patients. But when was the last time that you looked into the financial health of your practice? Here are five ways to help you encourage timely payments as well as streamline processes to increase reimbursements in order to help keep your practice well-maintained as you can maintain your clients.

 Tip #1: Communicate Patient Financial Responsibility Clearly

 It is easy for patients to understand the costs associated with their obstetric and gynecological services by establishing an explicit financial policy in the check-in procedure. Patients will likely be pleased to know your payment collection procedure, cancellation, and no-show guidelines, as well as the way the office deals with an insurance claim in advance so that there are no surprises or confusion later on.

 Furthermore, with the new hospital regulations from CMS which move toward greater transparency in pricing across the healthcare sector and your office can use this trend to your advantage. Offering a cost estimate prior to services will assist self-paying patients’ planning and budgeting for medical expenses, as they will better understand what they can expect. The timely verification of insurance is crucial for determining a more precise estimation of costs. 

 Find out how OB/GYN Medical billing services can aid with the verification of insurance coverage and cost estimations. 

 Tip #2: Avoid Common Coding Errors

 Sometimes, providers fail to add codes for conditions that arise and need to be addressed in a gynecological or prenatal appointment that can be charged to the patient at the time of visit, if it is approved by the provider. A patient, for instance, is in for an annual prenatal appointment. The patient complains of discomfort when in the urination process, and after an exam, you identify the patient with bacteria vaginosis.

 Beyond the prenatal codes, you could be able to code the ICD-10 codes: N76.0 (Acute vaginitis) and CPT 99213 (office or another outpatient appointment to evaluate and manage for an existing patient) that requires a medically adequate medical history and/or exam and minimal medical decision-making or 20 to 29 minutes of total time at the time of the visit.

 Another area in which codes can be a problem can occur when an individual wants to have a vaginal birth following the cesarean section. A majority of doctors choose CPT 5900: routine obstetrical care including vaginal birth (with and without episiotomy or forceps) as well as postpartum medical care. But the most accurate option is CPT 59610 which would include after the previous cesarean delivery.

 Little mistakes like these could result in lower reimbursement rates, therefore it’s crucial to stay current regarding the most effective coding practices. It’s also crucial to stay up to date with current well-woman billing codes as well as obstetrics billing guidelines. Make reference to billing codes easily accessible, for instance, CPT codes 99381 – 99387 to preventative services that aid in the coding of annual gynecological tests.

 The American College of Obstetrics & Gynecologists offers a full collection of coding resources to aid you and your team remains current on the most effective coding methods and ICD-10-CM codes that cover Gynecology and Obstetrics.

 The OB-Gyn medical billing firm has an automated suggestion of coding which scans the complete listing of ICD-10 codes for OB/GYN. It will suggest code based on your medical documentation, making the final review and approval easy for healthcare professionals.

 Tip #3: Improve Claims Scrubbing Before Submission

 Claims that are clean are vital for prompt reimbursements from insurance providers. If a claim is rejected, it is typically the first part to be examined in the process of bringing it back to the bureau. However, there are different reasons why claims could be denied, and they can be difficult to identify.

 Incorrect patient demographic information can cause a denial. As there is a lot of attention paid to the knowledge of the patient, there’s a chance that the information provided by the provider is incorrect and may be missed. In the event of submitting a claim that falls outside the deadline for claims submission, the payer may result in issues. The medical biller must pay focus on the specifics of the claim in order to ensure that the claim is clean.

 The process of scouring across rows after rows of information to uncover inaccuracies slows your collection process. This also takes time so, the billing team can be focusing on more important tasks. A Medical bill Practice Management aids your staff to review claims using the clearinghouse interface, with customizable scrub rules and automated claim submission of files.

 Tip #4: Generate Clear Statements and Bills

 In the gynecology & obstetrics field, screening and diagnostic testing are considered to be a normal element of many kinds of appointments. But this doesn’t mean that patients are aware that an urinalysis test or an ultrasound will come at an extra cost. In some instances, patient charges aren’t paid because of doubt about what insurance coverage will pay for. Some patients may even think that they have made a mistake when they receive a bill.

 The process of educating patients about their financial obligations at the start of a visit, as explained in Tip #1, can help in preventing this issue. Make a final statement that contains the patient’s insurance policy, fees for deductibles, and charges from third parties for imaging or pathology to make sure the patient is aware of the exact amount they’re paying and the reasons for this. Posting the bill online via a Patient Portal assures patients that they are able to securely reach your office with any queries regarding the bill, review their invoice in a timely manner, and then pay the amount in one location.

 Tip #5: Provide Options for Patient Payments

 The more options that patients have for paying their bills, the more likely your method is to get the amount you’re due. Patients are familiar with paying for products and services via their smartphones, laptops, and tablets. Your practice can make use of the ways that customers already prefer to pay, by providing a variety of payment options.

 Apart from paying via phone or mail. The practice can also take payment through the office’s front desk, using an ATM for credit cards, or through your patient portal on the internet. OB/GYN medical billing company also offers a payment option at check-in. It allows your office to pay balances through payment via text and also online fast pay. They also offer payment plans and autopay payment options.

┬áMedical Billing Company allows you to automate the process of payments based on agreements you’ve made with your patients so that your coordinator does not have to concentrate on collecting and processing the payments. We process your credit card in accordance with the amount and timeframe you input in pay, indicating your agreement with the patient, and eliminating the human element of the scheduled processing of cards.

 Use these suggestions to clean the quality of your billing procedures, and you’ll be on the way to taking your business to a healthier position.