Obstetrics and Gynecology, abbreviated as OBGYN, is a service that mainly deals with antepartum, childbirth, postpartum care etc. While they bring hope to a new life, these services’ intricate billing requirements add a huge burden for OBGYN providers. Moreover, the OBGYN codes, rules, and billing updates shift all the time. That is why the billing specialists need to follow all the updated billing requirements to make an accurate claim submission. Remember, a minimal error like a wrong code or missing document results in claim denials. Not only that, but your practice may also even face federal penalties.  

That is where the OBGYN medical billing services come into the picture. Their experienced staff brings years of experience and top-notch expertise to ensure every detail is right. Moreover, their staff makes sure the billing process is 100% accurate, ensuring the practices get proper reimbursement at the right time. Apart from that, they help with prior authorization to make sure no claim gets denied. But how do they eliminate all the billing errors? Let’s find out how these third-party services stop revenue leaks.  

Top 5 Advantages of Hiring an OBGYN Medical Billing Services? 

Streamlining Billing Process

The billing regulations are constantly changing. That is why it is becoming difficult for healthcare resources to comply with the updated regulations because they also have other important tasks to do. That is where the outsourced billing services come into the picture. Their experienced staff strictly follow the HIPAA regulations to reduce billing inaccuracies. Moreover, they accurately navigate each payer’s policies to make sure no claim gets denied. Apart from that, they double-check each patient’s details before submitting the claim. So, that is how the experienced staff reduces revenue leaks.    

Eliminating Coding Errors

Profit leaks often begin with coding mistakes. The OBGYN practices deal with various complex procedures. Some of the procedures are using specific ICD and CPT-10 codes for prenatal visits, deliveries, and surgeries. However, a wrong code can cause severe revenue loss. For example, miscoding a routine ultrasound may lead to claim denials, which will eventually lead to revenue loss. That is where the billing services come up with certified coders trained in OBGYN. They know all the right codes for hysterectomies or other sections to reduce coding errors. Hence, that is how proper coding prevents claim denials which ensures that the practices are fully and correctly reimbursed.  

Tackling the Prior Authorization Challenges

Prior authorization is difficult due to varying payer requirements and the need for collaboration between payers and providers. That is why this process is often time-consuming and labor-intensive, which leads to claim denials. On the contrary, OBGYN medical billing services have dedicated experts who know all the complex prior authorization processes. Then they verify the insurance coverage of the patient. After that, they make accurate PA requests with complete documentation. That is how they solve all the intricacies of prior authorization, thereby making sure no claim denials occur.  

Preventing Overbilling and Underbilling

Overbilling and underbilling massively affect the provider’s revenue. It happens when the services are billed at a lower or higher price. For example, a detailed postpartum visit might be billed as a basic check-up. Hence, it affects the overall billing process and eventually leads to claim denials. However, the third-party billing service reviews every service closely. Their experienced personnel ensure accurate codes for different procedures like hysterectomies, which reduces billing errors. Moreover, they also use the correct modifiers to ensure the complex cases aren’t underbilled or the routine ones overbilled. Hence, these steps ensure accurate claim submission.  

Reducing Operational Cost

The in-house billing team comes up with a higher cost. The reason is that you need to train them and buy expensive billing software. On the other hand, the outsourced medical billing services come up with 80% less cost compared with the in-house billing service. It is because they have already trained staff who have experience working with expensive software, which reduces training and software costs. Moreover, their dedicated resources take care of all your billing-related operations, so that you can focus on patient care. That is how the outsourced billing experts not only save your operational costs but also save time for you to improve patient care.  

Final Thoughts

Managing the complexities of OBGYN services is very difficult and time-consuming for healthcare resources. That is why it refrains the providers from providing quality care to their patients as most of their time goes into solving the billing errors. So, to counter all these issues, the OBGYN medical billing services have come in. Their experts not only help with prior authorization but also comply with all the billing regulations to make sure no claim denials occur. Apart from that, they know all the complex nuances of all the billing and coding regulations to prevent underbilling and overbilling. So, if you want to streamline your billing operations, you may consider outsourcing a third-party billing service to stop your revenue leaks.