Gynecology billing is a very complex and time-consuming process. To excel at this, you need to stay on top of the latest CPT, ICD, and HCPCS codes. But the healthcare staff performs almost all the administrative work. That’s why it becomes difficult for the healthcare staff to excel in patient care. So, what can you do in this situation to make sure no claim denial occurs? You can take the help of gynecology billing services that know all the complex nuances of the billing process.
4 Reasons to Hire Gynecology Billing Services
The experts stay updated with all the latest healthcare regulations, and they also know how to take care of the prior authorization procedures. They are also highly cost-effective and know how to work with the clinic’s EHR system. Still wondering how they do it so efficiently? Let’s dive into the process then:
Staying Ahead of the Latest Regulations
Healthcare regulations are constantly changing to tackle new diseases. But as the healthcare staff performs almost all the healthcare operations, they can’t give enough time to stay current with the latest regulations. Here, you can take the help of outsourced companies that know all the intricate details of the CPT, ICD, and HCPCS codes. Apart from that, they also know all the small nuances of the HIPAA law to protect patient data. Hence, you can stay on top of the latest regulations with the help of RCM experts.
Streamlining the Prior Authorization Process
Prior authorization is considered a complex and time-consuming process. It is because you need to first verify patient eligibility, collect important patient documents, and finally, submit a prior authorization request to streamline the PA process. However, as the healthcare staff stay busy with almost all the administrative hassles, it can be a good decision to outsource gynecology billing services that can take care of these complex procedures. In addition to that, in case a claim gets rejected, these experts properly follow up to make sure no denied claim gets stuck.
Cost-effectiveness
The in-house team comes with a high cost. It is because you need to train them and also buy expensive office space for them. On the contrary, the outsourced RCM experts are trained with all the healthcare processes and the ins and outs of RCM services. Apart from that, these experts also know how to use the right software to make sure no claim denial occurs. So, cost-effectiveness is one of the major reasons to hire the outsourced experts.
They are Technology-Agnostic
Technology plays an essential role in speeding up the claim submission process. Here, the gynecology billing services come into the picture. These companies have dedicated experts who know how to work with the clinic’s EHR system to make sure no claim denial occurs. Furthermore, the RCM experts also know how to work with electronic prior authorization to seamlessly submit claims digitally. Moreover, they also know how to work with Brightree, Kareo, and any other software to streamline the claim submission process.
They Excel with Maintaining Payer Policies and Documentation Requirements
Payer policy and documentation requirements are considered as one of the major aspects of gynecology billing. It has been observed that the payers frequently change their policies to make sure no claim denial occurs. Apart from that, there are several other documentation requirements that also need to be complied with. Here, the outsourced experts stay updated with all the documentation requirements to make sure no claim denial occurs. Along with these, you also need to know how to work with the payer portals. So, that is one of the major reasons to outsource gynecology billing services.
The Future of Gynecology Billing
There are many gynecology companies that have years of experience in OBGYN billing and provide comprehensive billing solutions that tackle the burden of the US healthcare providers. Moreover, they also help with precise and timely claim submission, AR, denial management, and compliance and regulatory adherence. Moreover, these experts can reduce your operational costs by 80% and achieve 99.9% accuracy in claim submission. These RCM experts also provide dedicated account managers at no extra cost, and they do not have any binding contract or restrictive clause.
Before hiring these companies, check also if they have a 10% buffer resource or not, so that even if any employee shrinkage occurs, they have it covered. They also take care of robust and customized reporting and top-of-the-line infrastructure setup. These companies are 100% HIPAA-HITECH compliant, and they have a turnaround time of less than 48 hours. The outsourced gynecology billing services have low service fees with no hidden or transactional costs. The companies provide free account supervisors, account setup, and IT infrastructure setup. So, if you want to streamline your revenue cycle management process, it can be a feasible option to outsource to experienced billing personnel who know all the ins and outs of this process.
