Obstetrics and Gynecology (OB/GYN) is a very busy division of any healthcare organization. This branch deals with childcare, pregnancy, and female health issues. It is common acceptance that OB/GYN is one of the most challenging branches for medical billing and coding experts. OB/GYN practitioners perform and recommend various tests and procedures for pre and postpartum women, and suggest different screenings for women in different age groups. As a result, OB/GYN billing and coding get complicated.
All OB/GYN teams, starting from those in massive hospitals to smaller clinics and private practice firms, get equally flabbergasted with the Medical billing and coding guidelines. Spending time getting the backend processes right means that the team doesn’t have the time to focus on their practice. Keeping updated with the ever-changing medical billing laws and standards and going back and forth with submissions and re-submissions of claims is something these practices best avoid.
Here are some of the challenges of coding and billing OB/GYN procedures.
Understanding the complexities of OB/GYN medical billing and coding is the first step to defeating it, and we understand that perfectly. In fact, our tools and services are designed to support our billers and coders to handle such complexities effortlessly.
Our coders are backed by our pride – the unfailing Machine Learning tool called Codessence. Codessence is built for the production environment and for teams that handle millions of codes regularly. The tool directly interfaces with EMR or hospital systems using HL7 or equivalent standards. It can be customized based on specific coding needs.
Codessence can move from encounters to claims in less than 24 hours and is proven to improve coder productivity by up to 50%. You may have a great medical billing and coding team handling OB/GYN bills. However, Codessence is like having another pair of eyes checking the codes, and errors are spotted before they turn into denials and revenue losses.
Reimburssence, another AI tool of ours, takes over once the coding part is done. This tool gives the AR team indispensable knowledge about the claims, helping them push claims to successful reimbursements. The tool uses a mix of analytics, intelligence, and insight to make the right decisions on claims. It nudges the team to take the right action at the right time and, over a period, improves touches to closures and the reimbursement rate.
You could be a hospital or an independent OB/GYN clinic. Outsourcing the medical billing and coding process is a smart way to avoid the complications of the process and get more time to focus on the patients and their wellbeing. RCM brands like Quintessence come with exceptional working experience with the US healthcare systems, and we keep ourselves aware of the latest changes in the medical billing industry. As a result, you can trust us to get the codes right, build the claims perfectly, and push them confidently towards reimbursements.
Do get in touch with us to get a demo of the tools and software we use and understand how they could change your RCM process for the better.