Leveraging Technology For Efficient Ob/gyn Billing

By Author: Danny Johnsmith
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Typically, hospital and professional coding begin when an obstetrician-gynecologist records information on patient services. When that information is sent out as a charge capture, it is assigned a OB/GYN billing code. It isn’t easy to navigate this process, especially since everything from hospital room to various processes and tests must be billed for reimbursement. This necessitates highly qualified professionals with experience securing revenue opportunities while protecting healthcare organizations from compliance risk and financial penalties.

Challenges with OB/GYN Billing Processes:
As the revenue cycle progresses, information is passed from one department to the next. Hospitals risk losing revenue integrity if any miscommunication or details are included. Insurance companies already under financial pressure deny a significant percentage of claims based on mismatched procedures and ICD codes. Many coding errors occur because coding professionals need more detailed physician documentation or rushed intake information. These professionals sometimes need to be made aware of coding updates. For example, they ...
... may need to be mindful that two procedures are linked, so they bill each separately. This may result in each claim being denied for unbundling.

Leveraging Technology as a Solution:
When healthcare organizations invest in technology, hospital, and professional coding, experts can enhance quality and ensure accurate reimbursement. Consider the EHR system, which brought a “paper-heavy process into the digital age.” Its importance in healthcare is undeniable, especially given OB/GYN coding professionals’ role in the revenue cycle. However, it is far from the only advantage a technology can leverage to these professionals to achieve and maintain long-term quality, compliance, and reimbursement results.

Let’s look at how leveraging technology can influence OB/GYN billing and coding processes in ensuring your healthcare organization’s optimal financial performance:

● Lowering Accounts Receivable Days
Declining patient volumes are just one of the sources of a hospital’s revenue problems. A/R days creeping upward can put additional strain on already-stressed accounting departments. Modern RCM technology accelerates OB/GYN billing services that take longer to complete manually and automates many of the follow-up steps required for some claims to be paid. Keeping A/R days within acceptable limits will assist you in maintaining control of your cash flow in a challenging financial environment. Cash on hand is critical to maintaining stability and flexibility to make the necessary investments, such as offering competitive wages in a tight labor market.

● Enhancing Clean Claims Rate for Efficient OB/GYN Billing
Nothing slows reimbursements down more than claims errors. Claims submission and OB/GYN billing errors are consistently cited as the leading cause of hospital and physician claim denials. However, errors such as patient demographic data discrepancies are often entirely avoidable. A technological upgrade can assist you in detecting claims errors before they are submitted, reducing delays and denials. Automation diminishes the chances of human error and streamlines the clumsy processes that cause errors in the first place, such as patient data validation and insurance verification. Aside from reducing manual processes, a single system for managing all claims with all payers is easier for OB/GYN billing staffers to navigate, resulting in better overall outcomes.

● Better Leveraging the Available Data
Obstetricians-gynecologists can access a wealth of primary source data on OB/GYN billing, patients, and demographics. The challenge is to gain access to that data and use it in the most beneficial way for the healthcare organization. Technology enables healthcare organizations to not only systematize the data collection process but also to visualize it in a way that allows us to draw meaningful conclusions. Medical leaders are better analysts of what’s happening with the balance sheet today and predict what’s in store for tomorrow if they can easily access precise, up-to-date data on metrics like net collection rate and days outstanding sales. Further investigation enables process improvements that can improve overall financial health.

Collaborate with 24/7 Medical Billing Services!
Despite optimistic predictions at the start of 2023, patient volumes have not recovered to pre-pandemic levels. In many cases, they are still declining. Meanwhile, the ongoing healthcare staffing shortage makes attracting qualified workers more complex than ever, while existing labor resources are stretched thin.

The outlook for providers may appear dull, but one area holds great promise for helping them overcome these and other challenges: technology. The right technology is critical for staff to do their jobs effectively and make the most of their valuable time on the clock; it’s also essential for your revenue cycle to run as smoothly as possible. The best way out is to collaborate with 24/7 Medical Billing Services – an OB/GYN billing and coding company using updated technology to bill and code the services.

Read more: 5 Reasons Why OB GYN Practitioners Should Outsource Medical Billing Services

I am Danny Johnsmith & I work as a Healthcare Consultant with 24/7 Medical Billing Services. I have been working in the US Healthcare Industry for more than 4 years now & I excel in offering Revenue Cycle Management Services. Ideally, Physicians should be focusing more on Patient Care & spending very little time in the administrative tasks. But in reality, a lot of Physicians & Healthcare Providers are actually burdened with both – Patient Care & the Office Management to. And that’s where My services would be of real help for you… From Credentialing to Appointment Scheduling, From Medical Billing to ICD 10 Coding & From A/R Follow-ups to Denial Management, I can help streamline your entire practice performance. Be it DME Billing or Chiropractic or Mental Health, I have helped a few Providers boost their practice revenue by at least 50%.