OB/GYN Medical Billing & Coding Software
From single-provider independent practices to multi-provider groups, OB/GYN medical billing and coding should be simple and efficient, so you get paid faster for the services you provide.
In medical billing, time and accuracy are the two most important things to get claims out the door. Having all your information in a single place ensures that your medical coding team can move claims out the door as quickly as possible.
AdvancedMD stores information in one centralized database hosted on the Amazon Web Services (AWS) cloud platform. This unified architecture enables fast, secure, and reliable software and data access to everyone involved in the patient’s care. Starting with the scheduling office, through the patient encounter, and on to the medical billing and coding.
Using separate systems that are patched together with APIs or requiring staff to manually transfer information between systems creates more opportunities for error.
Even small errors or missing information can:
Errors in medical coding and billing slow down your revenue cycle. They can be the difference between a healthy practice cash flow and significant financial challenges. Errors in claim submissions are costly and require a lot of extra work to find the problem and resubmit them to insurance payors.
There are also limited timeframes to rework and resubmit incorrect claims. When you have a lot of denials, overworked or understaffed medical billing offices can quickly get behind. This leaves you with unpaid bills and the choice to either bill your patients for the difference or write them off as bad debts.
Finding errors on the first pass and correcting them improves cash flow and reduces costly and time-consuming denials. AdvancedMD claims scrubbing features check all your claims before they go to payors to find common errors, such as:
One of the biggest challenges for OB/GYN providers is ‘global’ billing. All aspects of treatment from the time a pregnancy is confirmed through postpartum care—which can last as long as a year—is billed in a single insurance claim. There are few other instances in medicine where a treatment plan lasting this long would be billed as a single diagnosis.
OB/GYN practices must have accurate records and carefully track what happens with each patient in order to bill for the pregnancy and childbirth encounters. Reworking claims denials for global billing claims means going through months of notes, diagnoses, and codes to find errors and resubmit.
What is included in each global billing group can also differ significantly from one payor to the next. OB/GYN practices need expert coding and billing professionals, along with advanced medical billing and coding software to ensure accuracy.
AdvancedMD medical billing and coding software is specifically designed with the needs of specialty practices like OB/GYNs in mind. Our software developers consult with practitioners to understand the needs of independent clinics and small group practices so we can create software that makes billing easier and more efficient.
High-deductible health plans are also changing the billing process for OB/GYN practices. Patients with these plans must cover a higher portion of the bill before insurance payments kick in to cover the balance of the costs. Insurance coverage used to represent the majority of collections, and many would even write off some or all of a patient’s balance rather than go to the trouble of trying to collect. Today patient billing represents a significant portion of overall collections, especially for an OB/GYN practice, so providers must have billing software that tracks both patient and payor responsibility accurately. Being able to bill secondary insurance is a bonus.
AdvancedMD billing software helps you carefully track each patient’s billing history so you can quickly identify when they meet their deductible. Timely patient collections are essential to healthy practice finances. The longer it takes to collect on patient (and insurance payor) balances, the less likely you will be able to collect the entire billed amount.
With AdvancedMD OB/GYN billing software:
Reporting tools are also an essential part of billing. Keep track of your accounts receivable and other critical financial information for your practice with our advanced suite of reporting tools.
Jed Shay, MD
The Pain Care Center
Keith Berkowitz, MD
Center for Balanced Health
Estaban Lavato, MD
La Loma Medical Center
Raju Raval, MDRead the story ›