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Portland, OR United States

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OB/GYN

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24/7 Support: +1 800-123-1234

Expert Medical Billing Services for OBGYN Practices

Maximize your reimbursements, reduce claim denials, and streamline your revenue cycle with specialized billing solutions tailored to the unique needs of OBGYN practices. We specialize in providing tailored medical billing services for OBGYN practices. The billing process for obstetrics and gynecology can be complex, with a wide range of services that require precise coding, correct documentation, and adherence to payer-specific requirements. Whether it’s routine gynecological exams, prenatal care, or complex procedures like labor and delivery, our expert team ensures your practice is fully reimbursed for the care you provide.

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98% First-Pass Pay Rate

We leverage our specialized knowledge of OBGYN coding to achieve a high first-pass claim approval rate, speeding up reimbursement and reducing the chances of delays.

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30% Reduction in AR Days

Our efficient billing processes help reduce accounts receivable (AR) days, allowing your practice to receive payments more quickly.

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15% Revenue Increase

OBGYN practices partnering with us experience an average of 30% or more increase in revenue due to optimized billing practices and reduced denials.

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99% Claim Accuracy

With a focus on accurate coding and thorough documentation, we ensure that your claims are processed with precision, minimizing the chances of rejections and underpayments.

Common Billing Challenges in OBGYN

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Complex Coding for Obstetrics and Gynecology Services

OBGYN practices provide a wide range of services, including routine gynecological exams, pregnancy care, ultrasounds, surgeries, and more. This diversity of services often requires specialized knowledge of coding to ensure accurate billing.

How We Solve It:

Our certified coders are trained specifically in OBGYN-related CPT, ICD-10, and HCPCS codes. We ensure that all procedures, from routine Pap smears to complex surgeries, are coded accurately, reducing errors and ensuring full reimbursement for all services.

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Billing for High-Volume, Time-Sensitive Obstetrical Services

OBGYN practices often handle a high volume of obstetric patients, especially for services related to prenatal care, labor and delivery, and post-partum follow-up. The volume and urgency of these services make it critical to manage billing efficiently to avoid delays.

How We Solve It:

Our team ensures that obstetric services, including prenatal visits, ultrasounds, and deliveries, are billed promptly and correctly. We use advanced technology and streamlined processes to ensure that billing is completed efficiently, reducing the time it takes to receive payment.

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Insurance Payer Variability

OBGYN practices frequently see patients with various insurance types, including Medicaid, private insurance, and commercial payers. Each payer has different rules, coverage policies, and reimbursement rates, creating a challenge for accurate billing and timely reimbursement.

How We Solve It:

We specialize in handling claims for all major insurance providers, including Medicaid, Medicare, and private insurance companies. Our billing experts are well-versed in the nuances of different payer requirements, ensuring that every claim is submitted in full compliance with the payer’s guidelines.

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Denial Management and Appeals

OBGYN practices often encounter claim denials due to coding errors, missing documentation, or incorrect information on claims. These denials can delay payments and create unnecessary administrative burdens.

How We Solve It:

Our dedicated denial management team addresses claim denials by thoroughly investigating the cause and submitting appeals with the necessary corrections. We work directly with payers to resolve disputes quickly, ensuring that your practice gets reimbursed promptly for the care provided.

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Documentation and Compliance Challenges

Accurate documentation is essential in OBGYN billing, especially for complex procedures like surgeries, ultrasounds, and high-risk prenatal care. Incomplete or incorrect documentation can lead to claim rejections or underpayments.

How We Solve It:

We ensure that your practice maintains accurate, thorough documentation for all services rendered. Our team works closely with your staff to ensure that all required information is collected and included in claims to minimize denials and delays.

How We Solve OBGYN Billing Challenges

Expert Coding for Obstetrics and Gynecology
Our certified billing specialists are experts in OBGYN-specific coding, ensuring that every service, from routine gynecological exams to complex obstetric care, is accurately coded. We keep up-to-date with the latest coding changes and payer guidelines to avoid errors and maximize reimbursement.
Efficient, Time-Sensitive Billing
We understand the fast-paced nature of OBGYN practices, especially with labor and delivery services. Our billing team ensures that all services are billed in a timely manner, reducing delays and ensuring faster reimbursements. We manage high-volume billing efficiently to keep your revenue cycle running smoothly.
Comprehensive Payer Handling
Our team is experienced in managing claims for all major insurance payers, including Medicaid, Medicare, and private insurers. We ensure that each payer’s specific rules and requirements are followed, and we submit claims that are fully compliant with payer guidelines.
Proactive Denial Management and Appeals
We work tirelessly to ensure that claims are submitted without errors, but when denials do occur, our dedicated denial management team swiftly handles appeals. We track claims through every stage of the process, ensuring your practice is reimbursed for every eligible service.
Detailed Documentation Support
We help ensure that all necessary documentation, from patient charts to procedure notes, is gathered and submitted alongside your claims. Our team supports your practice in maintaining complete and accurate records to meet payer compliance standards and avoid claim rejections.

What Our OBGYN Clients Are Saying

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"As an OB/GYN, I struggled with billing inefficiencies that slowed down reimbursements. Since partnering with NY Practice Partner, our revenue cycle management has been seamless. Claims are processed quickly, denials are reduced, and I finally have more time to focus on prenatal and women’s health instead of chasing payments."

Dr. Sarah Whitman, OB/GYN

"Running a busy OB/GYN clinic means balancing high patient volumes with complicated billing. NY Practice Partner has made that balance possible by streamlining the entire RCM process. Their expertise ensures steady revenue, which allows us to keep investing in better patient care and technology for women’s health."

Dr. Daniel Harper, OB/GYN

"At Willow Creek Women’s Health, we were constantly dealing with delayed reimbursements and administrative headaches. NY Practice Partner transformed our OB/GYN clinic’s financial operations with their RCM services. Now, collections are consistent, patient satisfaction is higher, and we have a clearer financial outlook for practice growth."

Karen Douglas, Practice Manager – Willow Creek Women’s Health

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