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.
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:
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
Gynecology Medical Billing Services can be a daunting task for many professionals, often leading to the preference of outsourcing these services by healthcare providers. The complexities of global claims, varying terms of coverage, and the need to conduct numerous tests in different facilities can be overwhelming. However, outsourcing obstetrics and gynecology billing services offer a sense of relief, streamlining the revenue cycle and freeing up valuable time. Additionally, many OB/GYN practitioners find solace in the comprehensive billing support available through outsourcing, similar to that of larger hospitals.
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Focuses on pelvic floor disorders in women, providing surgical and non-surgical interventions to address conditions such as urinary incontinence and pelvic organ prolapse, restoring quality of life.
Statistics That Define Our Company
48
Serving States
35 +
Specialties
1,200 +
Healthcare Providers
97 %
Claim Acceptance rate
100 %
Compliance
FAQ’s
Frequently Asked Questions
We’ve have compiled a list of commonly asked questions to provide you with quick and informative answers.
- 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.
The global billing period covers services rendered during pregnancy and a specific interval following delivery. One comprehensive code encompasses routine prenatal visits, delivery, and postnatal care during this period. Non-routine services and complications must be billed separately. Proper documentation is essential to justify the use of global billing codes. Different insurance providers have varying policies, requiring an understanding and adherence to payer-specific guidelines. Understanding and correctly applying global billing codes is crucial for efficient OB/GYN coding.
- 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-2[1]](https://prombs.com/wp-content/uploads/2024/10/Medical-Billing-Coding-21.webp)
Medical Billing Software We Leverage for Revenue Cycle Management
Here are some Industry top listed EHR being operated by us.
Our Esteemed Clients' Testimonials
![Dr.-Jorge-Guevara-MD[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Jorge-Guevara-MD1.webp)
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.
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.
![Dr.-Charles-Sisson[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Charles-Sisson1.webp)
We rely on Pro MBS for our medical billing operations and analysis. Our collaboration with Pro MBS has allowed us to excel over the last five years. We had a few patients’ inflows initially, and we ended up getting many more clients, Pro MBS helped us scale.
![Jennifer-Hartley-Administrator[1]](https://prombs.com/wp-content/uploads/2024/10/Jennifer-Hartley-Administrator1.webp)
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.
We have been using Pro Medical Billing Solutions for several months, and we have been extremely satisfied with their services. They have helped us to optimize our billing and coding practices, resulting in improved cash flow for our practice. We highly recommend them to other healthcare providers.
![Huiping-Xu-M.D[1]](https://prombs.com/wp-content/uploads/2024/10/Huiping-Xu-M.D1.webp)
Pro MBS has provided excellent satisfaction for our Medical Billing and Coding operations. We conduct regular meetings with their team. They are updated with current industry trends and keep very high standards for quality service. We consider them as an extension of our business office.
![Sandra-Diaz[1]](https://prombs.com/wp-content/uploads/2024/10/Sandra-Diaz1.webp)
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.
![Jennifer-G.-Walker-D[1]](https://prombs.com/wp-content/uploads/2024/10/Jennifer-G.-Walker-D1.webp)
We are pleased with Pro Medical Billing Solutions' billing and coding services and highly endorse them to anyone looking for a proficient billing company. Collaborating with Pro Medical Billing Solutions has been effortless, and we are deeply grateful for their services.
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.
![Dr.-Michael-Farrel-D[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Michael-Farrel-D1.webp)
I look back over the past five years of our relationship, and I can predict what the coming five years would look like. I can see immense growth opportunities for both of our organizations with the partnership that we have been able to develop. I absolutely recommend Pro Medical Billing Solutions.
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