Obstetrics and Gynecology (OBGYN) Billing Services

Maximizing Reimbursements for Obstetrics and Gynecology Providers

Expert billing support addressing specific challenges faced by OBGYN providers, including complex coding requirements, intricate claim submissions, and nuanced reimbursement processes.

obgyn billing services

Why Is Successful Billing Delivery Such A Challenge to OBGYN Organizations?

Managing global billing for maternity care, including antepartum and postpartum visits, requires meticulous attention to detail. Additionally, navigating the complexities of billing for fertility treatments, such as in vitro fertilization (IVF) and associated diagnostic tests, adds another layer of intricacy.

Furthermore, handling OBGYN billing involves adeptly managing claims for various gynecological procedures, ranging from routine preventive services like Pap smears and mammograms to intricate surgeries such as hysterectomies or laparoscopic procedures. Each procedure comes with its own coding intricacies, demanding a keen eye for detail to ensure accurate billing and optimal reimbursement.  

And then there are additional factors to consider, such as varying coverage amongst insurers and providing care across multiple healthcare facilities.  

Improve Reimbursements and Fast-Track Your Financial Growth

After 11+ years of serving OB GYN Practitioners nationwide, we’ve become experts with the distinct medical coding and OB GYN billing practices required for successful revenue management. Neolytix’s dedicated team of well-trained experts specializes in detecting the obstacles that prevent your organization from achieving its growth goals.

AR Reduction

The best cure is prevention. That’s why our teams put the emphasis on reduction in the front head before claims submission. With a meticulous focus on perfection, denials & AR are reduced.

Revenue Leak Detection

Through a meticulous review of your billing processes, we are able to identify and address potential sources of revenue loss and plug the holes, once and for all.

Expertise in Appeals

Our expertise and knowledge of the processes act as protective measures against denials. We methodically tackle concerns to guarantee you obtain the highest possible reimbursement.

Ongoing Compliance & Coding Audits

We conduct routine compliance audits to identify potential issues or areas of improvement. This proactive approach can help catch problems before they lead to denials or legal issues.

Credentialing and Network Management

Help organizations maintain proper credentialing for their providers and ensure that they are in-network with relevant insurance companies. This can prevent denials due to provider issues.

Prior Authorization
Management

Assist in managing prior authorizations to ensure that required authorizations are obtained before services are rendered.

Our Supporting Pillars Of Obstetrics and
Gynecology (OBGYN) Billing Excellence

With over 11 years of invaluable experience in the field, Neolytix brings a wealth of expertise to the table, ensuring that our dedicated teams adeptly apply the best ob-gyn billing practices to optimize your revenue cycle management. Our commitment to excellence is reflected in the following core strategies: 

Continuous Training & Accreditation:

Our coders, certified by AAPC, utilize their expertise to accurately assign CPT, HCPCS, and ICD-10-CM codes, and undergo constant training of code and best practice updates to ensure both compliance and precise billing.

Coding Audits & Education :

Neolytix performs pre-billing audits to identify and rectify potential billing errors before submission, minimizing claim rejections and delays. We also offer coding education training to upskill your in-office teams.

Cross-Network Experience:

We have in-depth process and compliance knowledge of all the major commercial carriers including United Health, Aetna, Humana, Blue Cross Group, WellPoint, etc. (Contract renegotiations available upon request)

Keeping Up with Compliance:

Neolytix stays vigilant in adhering to evolving healthcare regulations, ensuring that your OBGYN billing remains in compliance with industry standards.

The Coding Culprits Affecting Your Cashflow

Coding precision plays a critical factor in ensuring optimal reimbursement. Within the spectrums of Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) codes lie certain culprits that, when overlooked, have the potential to significantly impact your cashflow. 

Common CPT Codes

59400 (Global OB Care)

Clearly document antepartum care, delivery, and postpartum care, emphasizing the comprehensive nature of global obstetric care.

59425 (Antepartum care only)

Ensure documentation supports billing for antepartum care only, clearly distinguishing it from global maternity care.

59510 (Routine obstetric care including antepartum care, vaginal delivery, and postpartum care)

Document the routine obstetric care provided, specifying antepartum care, the details of the vaginal delivery, and postpartum care.

76805 (Ultrasound, pregnant uterus, real-time with image documentation, fetal and maternal evaluation, after the first trimester)

Clearly state the medical necessity for the ultrasound, including the gestational age, fetal and maternal evaluation, and any abnormalities identified.

Common ICD 10 Codes

Z33.1 (Pregnant state, incidental)

Document the reason for the encounter other than pregnancy, emphasizing that pregnancy is incidental to the visit.

Z3A.xx (Weeks of gestation)

Specify the gestational age, supporting accurate coding based on the number of completed weeks of gestation.

O09.211 (Supervision of high-risk pregnancy, first trimester)

Clearly document the conditions or factors that classify the pregnancy as high-risk during the first trimester.

O34.21 (Maternal care for other abnormalities of pelvic organs, first trimester)

Provide detailed documentation of maternal care related to specific abnormalities of pelvic organs during the first trimester.

Billing Proficiency Across Obstetrics and Gynecology (OBGYN) Spectrum

Multi-Specialty Experience 

Our billing teams have experience across the OB GYN specialty board which includes doing billing and revenue cycle management for: 

  • Gynecological Uro-gynecology and Pelvic Reconstructive Surgery 
  • Reproductive Endocrinology and Infertility 
  • Maternal-Fetal Medicine 
  • Advanced Laparoscopic Surgery 
  • Pediatric and Adolescent Gynecology 
  • Menopausal and Geriatric Gynecology 
  • Family Planning 
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obgyn medical billing

More Reasons to Choose Neolytix OBGYN Billing Services

Neolytix provides services around the clock to OBGYN organizations nationwide. Each team member in our billing team receives ongoing training and is upskilled in harnessing new technology and remaining compliant. Continuous training happens behind the scenes at no cost to your organization and won’t affect your medical billing, coding, and collections operations. 

Constant availability to speed up billing processes and to ensure continuous support for your healthcare organization.

We provide organizations with analytics and reporting tools to monitor key performance indicators related to billing and denials, allowing for data-driven decision-making.

Improved accuracy in claims submissions and reduced billing errors & monitoring of coding changes, and amendments. 

Free up your time by outsourcing medical billing services and administrative tasks to focus more on patient care and big picture tasks for your healthcare organization.

Benefit from our flexible and customized pricing options, designed to ensure cost-effectiveness and financial efficiency for your OB GYN practice or group.

Partner with Neolytix Today

Don’t let billing challenges hold you back. Partner with us and streamline your practice’s financial operations

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100% Probability of Revenue Improvement

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99% Claims Acceptance Rate

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11+ Years of Experience

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HIPAA Complaince

CUSTOMER TESTIMONIALS

Listen to what our clients have to say

Sarah Charmchi
Sarah Charmchi
I chose Neolytix for credentialing our practice. The team was knowledgeable, responsive and kind and supported us through the process. I would certainly recommend their services.
Sue Robbins
Sue Robbins
Neolytix has helped so much with our outstanding A/R. They are always so very willing to help and complete the task in a timely manner.
Toby
Toby
We transitioned to Neolytix a while back, having come from a billing company we were less than thrilled about. The people here have been very responsive to our needs and requests, and adapt quickly to whatever curve balls our practice throws them. They bring a wealth of knowledge to the table, and take the attitude that our success is their success.
Sandy M
Sandy M
I was a new office manager for a private practice when I hired Neolytix for credentialing assistance. Eden has been very thorough and helpful every step of the way. insurance credentialing can be so overwhelming at times, that having this task off my plate has given me a peace of mind. I know she is handling everything. Always quick to respond to questions or concerns.
Cheryl Lambert
Cheryl Lambert
Neolytix is the most professional and hard working billing company I have ever been partners with . I call them a partner because they truly are. Neolytix makes sure what they bill is accurate. Their knowledge of physician billing is outstanding. The entire team takes control and does what is necessary to make sure you get paid.

Start Your OBGYN Organization's Revenue Improvement Journey Today!

Choose Our Specialized Billing Services for Seamless Revenue Management. Take the First Step – Contact Us for a Customized Quote.

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