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getting started with OB/GYN Billing
OB/GYN specific Medical Billing, Coding & RCM solutions that boost profitibilty & improve patients experience.
Obstetrics and Gynecology is a specialty that carries voluminous claims filing as the services rendered cover Obstetrics, Gynecology, and Anesthesia for procedure and Family Planning. Our team of OB/GYN billers & coders employ their experience and knowledge acquired through two decades of working with obstetricians & gynecologists, improving OB/GYN practices revenue & accelerating their growth.
Services we offer:
Patient Registration: Ensure accurate patient data collection and verification, reducing errors in billing and claims submission.
Insurance Verification: Verify patient insurance coverage to avoid claim denials and delays in reimbursement.
Coding and Documentation: Our experienced coders will review medical records and ensure accurate coding for proper billing and optimal reimbursement.
Claims Submission: Submit clean and error-free claims electronically, accelerating payment cycles and reducing claim rejections.
Denial Management: Our team will diligently work on denied claims, identify the root causes, and appeal them to maximize reimbursement.
Accounts Receivable Follow-up: We will efficiently manage your accounts receivable, ensuring timely payment posting, and minimizing outstanding balances.
Financial Reporting: Get detailed reports and analytics on your revenue cycle performance, enabling you to make data-driven decisions for improvement.
Assuring Industry's best OB/GYN Billing Practices
Our professional billing & coding experts provide data-driven solutions that streamline OB/GYN billing processes. This increases efficiency and decreases the amount of time needed to correctly bill services rendered, technology foundation and a team that focuses on providing data-driven solutions to ensure fewer denials and increased revenue.
Here are some of the most common billing and coding errors in OB/GYN:
- Overlooking services rendered during the global period — it is important to keep an eye out for separately billable services.
- The misunderstanding that pregnancy coverage is an amendment to an existing insurance plan.
- Pregnancy-related coverage includes both inpatient and outpatient services, which are distinct from each other.
- Incorrect documentation of the policies & services provided.
- It is important to have a solid understanding of what determines the “medical necessity” for coding the different levels of ground and air ambulance services.
- It is essential to understand that every laparoscopic OB/GYN surgery will include a diagnostic laparoscopy.
See how we helped Obstetrician-Gynecologist in Newark, New Jersey?
Dr. Sarah Johnson operates a busy OB/GYN practice in a bustling urban area. Despite providing high-quality care to her patients, the practice was facing significant backlogs in medical billing and accounts receivable, leading to delayed reimbursements and financial strain. Dr. Johnson recognized the need for professional support to streamline billing processes, improve collections, and enhance overall revenue cycle management.
Testimonial:
As an Obstetrician-gynecologist based in Newark, New Jersey, I have had the pleasure of being acquainted with Everest AR Management Group for numerous years. Without a doubt, they have consistently proven to be an outstanding and professional team, making them the ideal choice for anyone in need of a reliable billing service.
The billing services provided by Everest AR Management, has been nothing short of immaculate. Their expertise and unwavering dedication shine through in every aspect of their work, ensuring that billing needs are handled with utmost efficiency and accuracy.
Based on their exceptional services, I have recommended Everest AR Management to several of my friends across the country, who have also shared their delightful experience and expressed immense satisfaction and gratitude.
In the realm of billing services, trust and professionalism are paramount. Everest AR Management Group has consistently demonstrated their reliability and competence, establishing themselves as the go-to choice for countless individuals seeking billing solutions.
With absolute certainty, I wholeheartedly and strongly recommend Everest AR Management Group to anyone in need of top-notch billing services. Their expertise and dedication will undoubtedly ensure your billing needs are taken care of with precision, granting you the peace of mind to concentrate on other crucial aspects of your business. Give them a try, and I assure you that you will not be disappointed.Â
— Munir Nazir
Obstetrician-gynecologist in Newark, New Jersey
Case Study:
Challenges
Solutions
A/R Recovery Strategy
Conclusion
Challenges
- Complex billing procedures: The OB/GYN specialty involves intricate billing requirements, including various procedural codes, modifiers, and insurance coverage complexities. Ensuring accurate coding and timely submission of claims was a major challenge.
- Limited resources: Dr. Johnson’s practice lacked dedicated personnel to handle medical billing and A/R management, which resulted in delays and errors.
- A/R backlog: The practice faced a substantial backlog of outstanding accounts receivable, impacting cash flow and hindering financial stability.
Solutions
Comprehensive assessment: We have conducted a thorough assessment of the practice including a review of billing processes, documentation practices, coding accuracy, and A/R management strategies.
Process optimization: Based on the assessment findings, we worked closely with Dr. Johnson to optimize billing processes. This included:
- Streamlining documentation practices to ensure accurate and timely coding.
- Implementing a robust charge capture system to minimize missed charges.
- Establishing effective communication channels with insurance companies to resolve claim denials and rejections promptly.
Outsourcing: We assumed responsibility for managing the practice’s medical billing operations, offering the following services:
- Accurate coding and claim submission within the specified timelines.
- Scrutinizing claims for potential errors, ensuring compliance with insurance requirements.
- Proactive follow-up on claim status and resolution of any billing-related issues.
- Appeals management for denied or underpaid claims.
- Consistent monitoring of reimbursements and identification of potential revenue leakage.
A/R Recovery Strategy
- A/R recovery strategy: We devised a comprehensive strategy to recover the practice’s A/R backlog efficiently. The strategy included:
- Conducting an in-depth analysis of outstanding claims and identifying the reasons for delays.
- Prioritizing high-value claims and taking immediate action to expedite reimbursement.
- Implementing rigorous follow-up processes to ensure timely payment.
- Collaborating with insurance companies and negotiating settlements for disputed claims.
- Maintaining regular communication with the practice to provide transparent updates on A/R status.
Conclusion
Through the strategic partnership with Everest, Dr. Sarah Johnson’s OB/GYN practice successfully overcame its medical billing challenges and recovered the significant backlogs in A/R. The collaborative efforts resulted in improved revenue cycle management, operational efficiency, and long-term financial sustainability for the practice, ultimately allowing Dr. Johnson to focus on providing exceptional care to her patients.
Services
Frustrated with decreased revenue, staffing issues, and technology costs?
RCM & Billing
Clean-up Projects
Consulting
Staff Leasing
RCM & Billing
At Everest A/R Management, we offer a full range of medical billing and coding services. We understand that all medical offices and practices are not the same. We work with our clients to design a customized solution that not only meets your needs, but exceeds them. We optimize customer service and efficiency to build a seamless process. Let us focus on the billing, A/R, and administrative challenges while you focus on patient care and clinical quality.
Clean-up Projects
Do you have a backlog of aged insurance claims?
Are you contemplating a system conversion and are concerned about the old A/R? Perhaps you’ve realized your staff just doesn’t have the time to work the aged claims due to the volume. Maybe you want to wipe the slate clean and start fresh whatever your reasons for considering a clean-up project, Everest can relieve you of your burden.
Consulting
With our extensive background in patient financial services, we can help guide your staff and internal processes to be more efficient and effective.
This translates to higher revenue for your organization.
Staff Leasing
Anticipating a staff member’s leave of absence? Has one of your staff been in an accident?
Don’t allow your business process to get bogged down because of a staff shortage! Because of our background in administration, hiring quality employees is quite familiar to us.
Let us help you sail smoothly through your personnel shortage!
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