Obstetrics & Gynecology (OB/GYN) Billing Services
Are you facing billing and coding complexities in your gynecology practice? Is this challenge leading you to lower reimbursements and claims denials? Look no further! Our HIPAA-compliant OB/GYN billing services specialize in accurate coding and claims processing to ensure complete reimbursements for healthcare services.
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How We Streamline Gynecology Billing and Coding For Your Practice
We are home to OB/GYN coding specialists certified in COBGC and billers recognized by AAPC and AMA. We streamline your entire billing process by leveraging well-defined processes and the latest OB/GYN-specific billing software. Our services offer billing support to gynecology providers, offering antepartum care, delivery services, postpartum care, infertility services, routine gynecological exams, screenings (such as Pap smears), and surgical procedures, among others. Here's how we optimize your billing operations:
- Integrate digital systems such as electronic medical records (EMR), electronic health records (EHR), and electronic data interchange (EDI) into gynecology-specific billing software to modernize and streamline billing processes, replacing manual tasks with efficient electronic claims processing workflows.
- Collate all patient information, including demographics, medical history, and referrals, and thoroughly verify insurance details such as coverage type, prior authorization status with effective dates and expiration dates, and claims address to ensure accurate claims documentation.
- Confirm if pre-authorization is required for any gynecology services rendered and request approval from payers if necessary.
- Ensure code specificity and compliance with regulatory guidelines when managing various OB/GYN billing models, including value-based care, fee-for-service, capitation, and global billing.
- Align claims documentation with the latest CPT, ICD-10, and HCPCS level II code ranges.
- Leverage digital workflows to ensure OB/GYN code precision (56405 – 58999 CPT code range) while creating claims documentation to capture diagnosis, services, and equipment accurately.
- Stay on top of fee schedules and claims submission guidelines for all payers (Medicare, Medicaid, Marketplace plans, Tricare, VHA, and private insurers like Blue Cross Blue Shield, Cigna, etc.) to minimize claims denials and maximize reimbursements.
- Review claims against Explanation of Benefits (EOB) provided by payers to pinpoint causes of claims denials. Resolve discrepancies and initiate the appeals process as necessary.
- Communicate with payers to generate patients' benefits and gain clarity on deductibles, copayments, and coinsurance. Inform patients on their patient responsibilities to prevent unpaid bills.
- Assign certified patient accounts representatives to ensure precise processing of electronic payments for each patient account from the payers.
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Local Client Testimonials
During your consultation, some of the points we can discuss are:
- Challenges in your current obstetrics & gynecology billing processes and their impacts.
- Our expertise in OB/GYN coding and billing and how we ensure maximum reimbursements.
- Best practices we follow to stay compliant with payer guidelines and HIPAA regulations.
- Our medical billing success stories; other benefits we offer as a reliable partner.
Why Choose Invensis as your OB/GYN Billing Company?
We are a trusted OB/GYN billing service provider for over 25 years with experience in catering to a diverse clientele, including women’s health clinics, hospital obstetrics and gynecology departments, fertility clinics, outpatient surgery centers, maternity clinics, family planning clinics, menopause clinics, and birthing centers, among others. Our expert team comprises CPCs and CPBs, supported by insurance reimbursement specialists, claims processors, certified inpatient coders (CIC), compliance officers, and more. As a team, we have helped our clients achieve up to a 98% clean claims rate and an average denial rate of less than 8%. We have also successfully managed AR days between 35 and 40 days and a net collections rate of up to 95% for our clients.
Benefits of Outsourcing Obstetrics & Gynecology Billing Services
1. Increased Revenue:
Proper billing of the services rendered to patients is essential. It helps to ensure claims are submitted accurately and in a timely manner. Issues in billing should be identified and resolved to reduce denied or underpaid claims, avoiding revenue loss. But, managing this in-house will be a daunting task. To tackle this, healthcare providers take advantage of outsourcing these tasks to OBGYN medical billing services companies.
Invensis ranks top in providing OB/GYN billing services for various gynecology practices worldwide and helps to submit claims in a timely manner. Our team of experts is well-versed in billing and coding for complex gynecological practices through profound experience. We rely on the latest technology to automate billing, which reduces errors and increases productivity and efficiency. As a result, we boost your revenue and reputation.
2. Compliance:
When it comes to gynecology medical billing services, adhering to regulatory compliances is tedious. This is because of changing regulations and a lengthy list of legal requirements. Outsourcing is the best way to deal with this, and healthcare businesses are already opting for it for a number of reasons. Healthcare practices outsource OB GYN medical billing services to a third-party firm to get HIPAA-compliant billing services.
Invensis has an expert team that provides OBGYN medical billing services. The team is knowledgeable about the ever-changing billing regulations and guidelines in the healthcare industry. Our gynecology billing services help to ensure the practice complies with the laws and regulations, reducing the risk of penalties and fines.
3. Reduced Administrative Burden:
Billing may top the list of administrative burdens for gynecology medical practices as it requires end-to-end knowledge of the practices, codes, costs, and more. Outsourcing companies offer a specialized team to handle these challenges. The team will have experience and expertise in billing for gynecology practices.
By outsourcing OBGYN Medical Billing Services to Invensis, gynecologists and their staff can focus on providing quality patient care rather than worrying about administrative tasks. Our services are error-free, accurate, efficient, and productive in delivering customized services. This will positively impact claims reimbursements for the rendered gynecology practices.
4. Increased Patient Satisfaction:
Accurate and comprehensive billing is essential to successful claims. It will also be easy for patients to understand the services and related costs. A third-party service provider can deliver complete billing services for gynecology practices. They know how crucial billing is, and so follow the standardized practices and gold standard workflows.
At Invensis, we offer OB/GYN billing services customized to the varying needs of healthcare clients. With our standard approach, we help patients and insurance companies easily understand the billing terms. In addition to that, our billing services help healthcare providers claim their patients’ bills on time, improving patient satisfaction.
Trends in Gynecology BillingÂ
1. Increasing use of technology:
Many gynecology practices are adopting new technologies, such as electronic health records (EHRs) and practice management software, to streamline billing processes, improve accuracy, and reduce errors. At Invensis, we utilize most of the latest technologies to improve billing accuracy and help you stay competitive.
2. Outsourcing billing services:
Gynecology practices are increasingly outsourcing their billing services to third-party billing companies. Hospitals outsource OB/GYN billing services to get access to specialized expertise and experience needed for particular billing needs. We at Invensis deliver OB/GYN billing services to help them reduce administrative overheads and focus on patient care.Â
3. Implementation of ICD-10:
The ICD-10 coding system has significantly impacted OB/GYN billing and coding services. It has increased the specificity and accuracy required in coding and billing procedures, leading to an increase in denials and rejections of claims. Proper coding and billing procedures help to iron out nagging issues. Invensis knows how to use ICD-10 coding to avoid denials or delays in the claims submission.
What Our Customers Say
We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.
Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.
Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.
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