It shouldn’t have come as a shock to coders and billers who are professionals that the complexity of OBGYN is already taking the toll on OBGYN healthcare providers’ budgets. Understanding the complexity of OBGYN experts will acknowledge, isn’t straightforward as there are many rules and exceptions along with multiple codes for OBGYN medical billing services and stages associated with OBGYN.
In the case of the rules and regulations that govern, the coverage is a problem – since the number of regulations that there can be exceptions and variations.
- The pregnancy coverage isn’t part of an independent insurance policy It’s an added protection that is added to an existing insurance policy, which requires amending the current insurance policy
- Another aspect that is a change in policies, procedures, and codes that are not in place globally that occurs when a pregnant woman alters her insurance during the course of her pregnancy.
- In addition, the coverage is not identical across all pregnancy services, however, it is divided into outpatient and inpatient services. Outpatient refers to those aspects of care that require visiting or consulting (like postnatal and prenatal visits) while inpatient is the coverage associated with hospital stays as well as child birth. Each of these services is accompanied by separate codes.
- Furthermore, there are complications caused by the health-related aspects associated with OBGYN. Gynecology is a field that involves many diagnostic tests, and pregnancy is just one of them. This demands that the person who is billing to know the tests that are performed to detect pregnancy to be able to distinguish them from tests that are not intended for pregnancy.
- In the end, all these procedures, diagnoses and tests can lead to the accumulation of data that require effective documentation, to be utilized for the purpose of preparing claims in a precise manner.
These issues have been proven to reduce healthcare providers’ financials by 7-10 percent, which as per many experts, seems to be an overly conservative estimation. Revenue Management Consulting services can assist you in analyzing your own revenue management process and making sure that there is a solid coordination among the various elements of healthcare, ensuring a smooth circulation of medical information. MBC can also assist you in training your employees to manage issues like OBGYN codes and billing issues like antepartum codes that are broken, global the management of denials, and billing inquiries and more.
Medcare MSO, the biggest collection of coders and billers in the US has also been aiding OBGYN health providers in small and big cities across the US by providing Outsourcing services, which cover the whole variety of OBGYN billing and coding tasks including billing, reviewing medical data denial management, and revenue follow-up.
Medcare MSO service modules are adaptable and if you’ll need our whole range of services, you may also select the elements of our services that specifically suited to your OBGYN billing and code requirements and help you save money. Whether you’re starting a new practice or want to boost the revenue of an existing one, contact us right away to find out how we can help you avoid common mistakes in your field and help you make the most money from your practice.
