Common Gynaecology Billing Issues

There are several different reasons why these denials occur. In many cases, they get a code 18 denial for a duplicate claim or service, while it’s common that the claims are denied because the benefit for service was already included in the payment of another procedure or service. These claims may be denied because the procedure isn’t paid for separately, the charge isn’t covered by the payer, or it could just be that the claim has errors or lacks essential information required for reimbursement.

Practice Critical

An overworked coder who is in a rush to beat peak hour traffic and a busy OB-GYN physician, are the perfect recipe for coding errors and penalties. Most OB-GYN practices have more than one physician to handle their anytime emergency care the specialty demands. Looking at their schedule, it is highly recommended to get a medical billing coding company on board.

You could either stick to middle-of-the-road coding and lose hundreds of dollars every month or work with expert OB-GYN medical billers and coders who can drive up the speed, accuracy and efficiency of your coding process.

Coding updates

One of the best ways to make sure claims aren’t unnecessarily denied so you can maximize your reimbursements, is to stay well informed on coding updates that affect OB/GYN practices. Within the past few years, several changes in CPT codes have been made, so it’s important to stay up to date. For example, in 2017 there was a removal of the bull’s eye symbol, which indicated moderate sedation was used for an OB/GYN procedure. That symbol was removed for several CPT codes, including fluid collection drainage by catheter, image guided, retroperitoneal or peritoneal, transrectal or transvaginal, insertion of vaginal ovoid’s and/or uterine tandem for clinical brachytherapy. A regular CPT code has also been added for the laparoscopic ablation of fibroids. Failing to be updated about current coding updates can cost your practice thousands of dollars, hence it’s very important to work with billing and coding specialists who constantly have their subject knowledge updated up to date.

Hence outsourcing to a professional medical billing and coding company is beneficial. Outsourced medical billing and coding company understands exactly the process for OB-GYN billing services and therefore hiring an outsourced medical coding company makes a considerable or huge difference. The team is adept and keeps itself abreast with the latest happenings in the healthcare industry, thus assuring no negative impacts to the bottom line of your practice. Experience uninterrupted cash flow and lower denials.