Obstetrics and Gynecology is the branch of medicine that specializes in the diagnosis and treatment of female reproductive system/organ diseases. It also specializes in women’s care provided during pregnancy and childbirth. It also covers treatments for other women’s health issues like hormone problems and disorders, contraception (birth control), infertility, and menopause. An OB/GYN practice also includes regular health checkups for women, internal surgeries, and pre and postpartum healthcare facilities.
According to a joint survey the most significant challenge that OB/GYNs face is the burden of paperwork still in process in many US States. Yet 7 out of 10 Obstetricians and Gynecologists suffer from money leakage in their revenue cycle because of malpractice claims. You cannot afford to lose your income because of a lack of thorough documentation or inaccurate coding, whatever the reason.
The same survey also found that 37% of OB/GYNs in the U.S. are 55 years or older, while only 19% are on the 40s list. We cannot depict the actual percentage as this survey was typical and cannot be reliable. But suppose we utilize it for a rough estimate and do some calculations. In that case, we know that the administrative needs are snowballing while the number of doctors for this specialty is shrinking. This fact adds to a considerable struggle for providers to manage their practice and its billing while making healthcare facilities available for patients. PMBS offers end-to-end OB/GYN medical billing solutions to help providers of this specialty boost revenue, streamline workflows, reduce paperwork, and complete claim protection to keep your practice growing.
PMBS has had good experience providing medical coding services in the U.S. for many years. We truly understand that each specialty is unique in practice and demands different billing methodologies to be applied. OB/GYN coding and billing are challenging for most billers or billing services providers because of global claims with widely varying coverage terms. Billing for this specialty is also tricky to do because it involves numerous healthcare facilities provided to patients. And providers cannot resolve all the hassles of medical billing alone. They require more or complete billing assistance to grow their practice and to pay more attention to their duty. Here are a few joint billing and coding errors that occur while doing the billing of this specialty:
Our client base extends across all 50 US States and covers many healthcare providers, organizations, clinics, and physician practices, including OB/GYN and other specialties. Our proficient team of billers and coders implement their experience and expertise acquired by working with obstetricians and gynecologists. We can significantly increase your revenue and accelerate your practice growth. Our coders are certified in ICD-9/10, CPT, and HCPCS and know all the updates and guidelines provided by AMA and CMS. Our expertise in OB/GYN medical billing services covers the following specialties of this domain:
Maternal-fetal medicine specialists are also known as Perinatologics. These providers are trained to provide advanced prenatal care, diagnostic testing, and treatments to provide care for maternal and fetal health issues. PMBS offers all the solutions you might seek for maternal-fetal medical billing services. These solutions cover all the administrative tasks associated with accurate documentation, coding, and billing. This also includes billing services for assigning and identifying the appropriate medical codes for prenatal consultations, diagnostics tests like ultrasounds, fetal monitoring, genetic screening, and other related examinations. Other procedures like management of maternal-fetal complications (such as gestational diabetes or preeclampsia) and amniocentesis or fetal surgery also come under the same umbrella.
Reproductive Endocrinology and Infertility (REI) is a specialization that covers the diagnoses and treatments of reproductive system and fertility disorders. REI specialists, also known as reproductive endocrinologists, are trained in obstetrics, gynecology, and reproductive endocrinology, which involves understanding the hormonal and biological factors affecting fertility. Reproductive Endocrinology and Infertility (REI) medical billing services include administrative tasks such as accurate clinical documentation, coding, and billing. This also includes identifying and assigning the appropriate medical codes for consultations, diagnostic tests (such as hormone assays and imaging studies), procedures (such as IVF and embryo transfer), and fertility treatments.
Medical billing services for gynecological urogynecology involve accurately coding and billing for consultations, diagnostic tests, procedures such as urodynamic testing and pelvic floor rehabilitation, and treatments like surgical interventions. While providing gynecological urogynecology medical billing services to specific providers, we conduct medical billing audits first to determine where they are lacking. The medical services for each specialty require different billing methodologies. PMBS's services for this specialty include claim submission to payor companies, eligibility verification of patients, doctor enrollment, accurate coding & billing, and business class intelligence reports.
We provide satisfactory and accurate medical billing services for your OB/GYN practice. While building a smooth platform to get faster reimbursements, we embed accurate codings to your transcripts. By providing the patient demographics entry, prior/post-authorizations, accurate clinical documentation, perfect coding & billing, and reconciling of accounts, we can add tremendous value to your practice. Some other extraordinary benefits that we provide to you are:
We can achieve substantial cost savings, generally up to 50-60%, by streamlining your billing process and optimizing your revenue cycle. All of our medical billing services are cost-effective and efficient.
With diligent follow-ups, accounts receivable management, insurance verification, and efficient patient demographics management, we streamline the billing process, making it smoother and more enhanced.
We can streamline your medical billing process by focusing on denial management and claim submissions to ensure quick reimbursements. This will boost the efficiency of your revenue cycle and cash flow.
Skilled in processing claims with the most popular payor companies in USA, like United Health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, and Medicare, we adeptly manage a varied insurance landscape.
Our team is proficient in software Kareo, OFFICE ALLY, Office Ally, ECW (E-clinical works), Therapy notes, Allscripts, Advanced MD, Chiro 8000, Care Cloud, Collaborated MD, and coding tools like EncoderPro, Flashcode, and CodeLink, ensuring accurate billing practices
Maintain compliance with healthcare regulations and minimize legal risks.
With our expertise, clients typically see a 30% improvement in revenue and a reduction in denials by at least 10%, enhancing their practice's financial health.
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