Comprehensive OB/GYN Billing Services for Maximum Reimbursement
Our OB/GYN billing services cover all aspects of women’s health, including prenatal and postnatal care, gynecological surgeries, infertility treatments, and routine well-woman care. We specialize in managing global billing for pregnancies, ensuring accurate coding for complex procedures like hysterectomies, laparoscopies, and ultrasounds, while minimizing claim rejections. With our expertise, OB/GYN facilities can focus on providing quality care while we ensure efficient revenue cycle management.
Nuances in OB/GYN Billing
OB/GYN billing is complex and requires a deep understanding of women’s health procedures and care protocols. Key aspects that require special attention include:
Global Obstetrical Billing:
Global billing encompasses prenatal visits, labor, delivery, and postnatal care. It is crucial to ensure proper documentation of all services provided to avoid undercoding or missing out on reimbursement.
Surgical Procedures:
OB/GYN practices often perform a range of surgical procedures, from hysterectomies to laparoscopies, which require specific coding and detailed documentation to justify the medical necessity.
Routine and Preventive Care:
Billing for annual well-woman exams, mammograms, and ultrasounds must be handled with precision to ensure accurate reimbursements.
Most Used CPT Codes for OB/GYN Billing:
- Obstetrical Services:
59400: Routine obstetric care including antepartum care, vaginal delivery, and postpartum care.
59510: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care.
76805: Obstetrical ultrasound, complete. - Gynecological Surgeries:
58150: Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s).
58661: Laparoscopy, surgical; with removal of adnexal structures (partial or complete oophorectomy or salpingectomy).
57522: Loop electrode excision procedure (LEEP) of the cervix.
- Routine Well-Woman Visits:
99384: Initial comprehensive preventive visit (female, ages 12-17).
99385: Initial preventive visit (female, ages 18-39).
99395: Periodic comprehensive preventive visit (female, ages 18-39).
Q0091: Screening Papanicolaou (Pap) smear. - Infertility Treatments:
58322:Artificial insemination; intra-cervical.
58970: Assisted reproductive technology, in vitro fertilization cycle. - Ultrasounds:
76830: Ultrasound, transvaginal.
76856: : Pelvic ultrasound, complete.
Medical Necessity in OB/GYN Billing
Medical necessity is a crucial aspect of OB/GYN billing, particularly when it comes to surgeries, ultrasounds, and infertility treatments. Payers require clear documentation proving the necessity of procedures to ensure coverage. Whether it’s a hysterectomy for abnormal uterine bleeding or a diagnostic ultrasound for high-risk pregnancies, proper coding and documentation are critical to obtaining reimbursement.
How Nellikk.ai Enhances OB/GYN Billing
Through our partnership with Nellikk.ai, we are able to offer OB/GYN practices cutting-edge solutions that streamline the billing process:
- Improved Accuracy: Nellikk.ai integrates with EHRs to extract data and ensure that all procedures are accurately coded according to the latest CPT and diagnosis codes.
- Efficient Automation: By automating routine tasks like claim submission and denial management, we reduce administrative burdens and accelerate the payment cycle.
- Denial Prevention: Our system identifies potential errors or incomplete documentation before claims are submitted, drastically reducing the risk of denials.
Why We Stand Ahead of the Competition
What sets us apart from other billing providers is our focus on OB/GYN-specific nuances and our technological integration with Nellikk.ai. Our expertise in managing global obstetrical billing, combined with automated solutions, ensures that you receive maximum reimbursement with minimal delays. By leveraging AI and automation, we:
- Ensure faster claims processing through real-time error checks.
- Maintain transparency with real-time reporting and insights into your revenue cycle.
- Increase compliance with HIPAA and HITECH regulations, keeping your patients’ sensitive information secure.
With our comprehensive OB/GYN billing services, you can trust that your practice’s financial health is in expert hands, allowing you to concentrate on delivering the best care to your patients.
