Know How to Avoid Pitfalls of Gynecology Billing Services

You probably aren’t surprised that gynecology billing services have always been complicated. As the healthcare industry has changed, these complexities have only increased. 

It is obvious that ensuring the utmost patient care is your first priority but additionally, you need to manage your gynecology billing services, things can be difficult for you. With huge workload and increasing number of patients, gynecology practices like yours often struggle to manage their revenue cycle but this is something that you cannot ignore as your billing cycle directly impacts your practice revenue. 

Like other specialties, OBGYN billing has a lot of complicated coding and paperwork to manage. However, there are some specific challenges that make it even harder for you as a provider. 



OBGYN medicine can be sensitive, and many providers like you often choose to handle administrative tasks on your own. 

This takes away your valuable time for patient care and can lower the quality of that care. If you look closely, you might notice problems like late payments, a lot of denied claims, and growing accounts receivable. 

Before we discuss the solution, let’s explore the many challenges you face with gynecology billing services. 

The major challenges of gynecology billing services: 

From regular checkups to serious surgeries, in your gynecology billing, you need to perform a plethora of services. The truth is that obstetrics and gynecology often overlap, thus making the gynecology billing services more complex affair for you. You may struggle with understanding your patients’ insurance coverage, assigning the right codes, and entering charges and documentation processes.  

For example, pregnancy coverage isn't a separate insurance plan; it’s an added benefit to a patient’s current plan, which means your patient needs to change their existing policy. 

There’s also a global coding system for OBGYN services and maternity packages. This covers everything from prenatal care to delivery and postpartum care for you and your patients. 

You need to have a good understanding and knowledge to track and bill these bundled services and their associated codes correctly. 

On top of that, pregnancy care coverage isn’t the same for everyone because it includes both inpatient and outpatient services. Each type of service has different codes, and you need to use the right codes based on where the service takes place and make sure your charge entries are accurate. 

Gynecology billing services include a complicated fee schedule with different rates for various procedures, consultations, and follow-up visits. It can be tricky for you to understand the payors’ terms for claim submissions and reimbursements, and to find the best contract for your practice. 

You need to handle all these critical data, diagnoses, and gynecology tests very carefully as if you miss any of these data, you would end up with denied claims, delayed payments and revenue loss.  

Fortunately, you streamline a perfect gynecology billing service by implementing the strategies mentioned below- 

Strategies to improve gynecology billing services:  

First, you need to understand the coding system better and review everything before you submit it.  

Accurate information and documentation are really important for managing your gynecology revenue cycle. Make sure everything from a patient’s medical history and examination to the treatment and services provided is correct and up to date. This will help you submit clean claims and get timely reimbursements. 

Whether you have a new patient or a returning one, you must verify a patient’s insurance coverage at every visit. You can always receive maximized reimbursement on time by having complete and accurate insurance information of your patients. 

Also, there are many technical solutions out there, like electronic health records and medical billing software that can help make your gynecology billing services smoother. 

Fortunately, you can streamline a perfect gynecology billing service by partnering up with a professional revenue cycle management company as they know how to dodge all the billing challenges and ensure the maximized revenue for your practice.  

For over 15 years, Sunknowledge has provided cutting-edge solutions to providers across the country.  

Sunknowledge specializes in gynecology billing services and also streamlines operations for more than 30 other specialties, offering great versatility and strong references.