Eliminate Billing Complexities and Safeguard Your Practice’s Revenue

OB-GYN billing is fraught with challenges, from managing bundled services during global periods to staying compliant with frequently changing codes. Common pain points include:

Global Period Mismanagement

Overlapping services during maternity care lead to billing confusion and underpayments.

High-Risk Pregnancy Coding Errors

Incorrect coding for high-risk pregnancies results in claim denials.

Frequent Denials

Missing or incomplete documentation for procedures like ultrasounds and surgeries causes rejections.

Insurance Verification Gaps

Lack of proper insurance verification delays reimbursements.

Compliance Risks

Failure to stay updated with regulatory changes can result in penalties.

Empower Your Practice with Tailored OB-GYN Billing Solutions

Comprehensive Global Period Management

Billing for global maternity services requires precise tracking of prenatal, delivery, and postpartum care. Mismanagement can lead to revenue loss. Health Quest ensures accurate claim submissions for bundled services, capturing full reimbursements without missing critical details.

High-Risk Pregnancy Coding Expertise

High-risk pregnancies require specialized codes that demand accuracy and compliance. Our experienced team ensures correct code assignment, reducing claim denials and securing higher reimbursements for complex cases.

Streamlined Insurance Verification

Gaps in insurance verification can delay payments or result in rejections. Our proactive verification services ensure that patients’ benefits and coverage are confirmed ahead of time, minimizing disruptions.

Regulatory Compliance Assurance

With frequent changes in healthcare regulations, OB-GYN practices face compliance challenges. We implement the latest updates, safeguarding your practice from audits, penalties, and compliance risks.

Effortless Onboarding for OB-GYN Medical Billing

Our onboarding process is designed specifically for OB-GYN practices,. We ensure efficiency and accuracy to meet the unique demands of your specialty.

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Obstetrics & Gynecology Coding Services: Accuracy in Every Code and Modifier

Accurate coding is essential in OB-GYN billing to ensure timely reimbursements and compliance with industry standards. Our OB-GYN Coding Services focus on precise procedure codes, including global maternity codes, ultrasounds, and high-risk pregnancy management.

We ensure the correct use of OB-GYN-specific modifiers, such as global period modifiers, for correct claims processing. By adhering to the latest coding guidelines and updates, we minimize errors and reduce the risk of claim denials. Our coding experts work diligently to ensure that every code is appropriately applied to capture all services provided, maximizing your practice’s revenue.

Proven Results for OB-GYN Practices – Comprehensive RCM Solutions for Maternity and Women’s Health

Health Quest offers tailored Revenue Cycle Management (RCM) solutions to meet the unique demands of OB-GYN practices, from maternity care to complex surgical procedures.

Accurate Time-of-Service Collections

Clear communication about patient financial responsibility ensures seamless time-of-service collections, reducing outstanding balances and improving cash flow.

Dedicated Pre-Authorization Management

OB-GYN procedures often require pre-approvals. Our team handles pre-authorizations to avoid claim delays and optimize reimbursements.

Integrated Claims Analytics

Our RCM solutions include analytics tools to monitor claim success rates and identify revenue cycle inefficiencies, enabling proactive adjustments.

FAQs

Why is accurate pre-authorization critical for OB-GYN billing?

Pre-authorization is essential for many OB-GYN procedures, such as ultrasounds or surgeries. Missing authorizations can lead to claim denials, delaying reimbursements. Our team ensures all procedures are pre-approved to avoid these issues.

How do you manage maternity global billing?

We track and bill for all services included in the global maternity package, ensuring accurate claims for antepartum care, delivery, and postpartum visits.

What steps do you take to ensure compliance in OB-GYN billing?

We stay updated with the latest billing guidelines, including ICD-10 updates and payer-specific policies, to ensure your practice remains compliant and avoids penalties.

How does Health Quest handle claim denials in OB-GYN billing?

We proactively identify and address the root causes of claim denials, such as coding errors, incomplete documentation, or insurance verification gaps. Our team promptly corrects and resubmits denied claims, ensuring faster reimbursements and minimizing revenue loss for your OB-GYN practice.

Let’s Get Started