Dealing with Ob-Gyn Related Payment Delays www.medicalbillersandcoders.com info@medicalbillersandcoders.com
As per a historical data, around 90% of payment denials and delays can be prevented. Ob-Gyn coding is complicated and using the right code makes a considerable difference in reimbursements. The billing requirements need to be identified, CPT and Medicare's rules must be followed, PAP smear payments must be reported, along with the usage of apt modifiers, and following of compliances to stay profitable. After identifying specific risks related to payment denials in Ob-Gyn, is it essential to keep a track on trends which culminate to errors consequently removing them, and gain a foothold in a successful and complete Ob-Gyn revenue management. www.medicalbillersandcoders.com info@medicalbillersandcoders.com
1. Reduce AR: A good practice is to lower the accounts receivable as much possible; keeping it to less than 30 days. 2. Outsourcing: Investing in the expertise of obtaining reimbursements from insurance agencies to an outsourcing agency could prevent delays in payments. 3. Documentation: It is significant for the physician to document details correctly, so billers and coders can process claims faster with accuracy. Improving the clinical documentation will also aid in justifying the diagnosis if questions arise from insurance payers. www.medicalbillersandcoders.com info@medicalbillersandcoders.com
4. Clearinghouses: These catch problems related to claims early enough; and help in preventing problems which might have arisen in other practices. 5. Avoid abridged codes: A few categories of diagnosis require coding of up to seven characters/digits. Failure to mention the codes with utmost specificity can result in rejection of claims. For this, documentation must be precise and clear to be able to select and assign an appropriate code/modifier for reimbursements.
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6. Missing services: The billers and coders must ensure that the note/documentation has been read and followed in its entirety. Reading only the headers will in all probability result in the selection of improper codes while also missing out on the services that might have been reported in detail. 7. Patients: It is important to distinguish between a new patient and an established patient. According to obgyn.net, "A patient is new if he has not received a face-to-face, professional service from the provider, or a provider of the same specialty/subspecialty in a group practice, within the previous 36 months. www.medicalbillersandcoders.com info@medicalbillersandcoders.com
Ob-Gyn Medical billing companies possess well-trained and experienced personnel who understand the nuances of Ob-Gyn billing and coding as it encompasses obstetrics, gynecology and anesthesia. Their competency aids in reducing the pending claims cycle to 25 days from the practice's current one, and follow up on claims impending for more than 18 days.
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To Deal with Ob-Gyn Related Payment Delays
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www.medicalbillersandcoders.com info@medicalbillersandcoders.com