How To Avoid Claim Denials In OB Gyn?

1
How To Avoid Claim Denials In OB
Gyn?
2
How To Avoid Claim Denials In OB Gyn?

• Some specialities in healthcare industry have
  exceptionally high denial rate. OB Gyn is,
  unfortunately, one of them. Denials are an every
  occurrence for most OB Gyn centers. If you are
  facing extreme claim denials in OB Gyn that are
  impacting revenue, heres a look at several
  strategies you can use to avoid claims denials in
  OB Gyn and start improving revenue for your
  practice.
• Stay up-to-date
• One of the best way to ensure claims are not
  unnecessarily get denied so you can maximize
  reimbursements is to stay up-to-date on coding
  updates related to OB/GYN specialty. Within the
  past few years, several changes in CPT codes have
  been made, so it is important to stay up-to-date.
• Avoid Most Common Claim Denials in OB Gyn
• It helps to be aware of some of the most common
  reasons of OB Gyn denials so providers can avoid
  them. A Physicians Practice report noted that in
  the past some of the top unexpected denials have
  included
• 99214 Outpatient doctor visit at a level 4
• 99000 A specimen handling office-lab
• 81002 Non-automated urinalysis without a scope
• 99213 Outpatient doctor visit at a level 3
• 36415 Routine blood capture

3
How To Avoid Claim Denials In OB Gyn?

• There are several different reasons that these
  denials occur. In many cases, they get a code OA
  18 denial for a duplicate claim or service, while
  its often common that the claims are denied
  because the benefit for service was already
  included in the payment of another procedure or
  service.
• OB Gyn ICD-10 Specific Tips
• Most practices have made the transition to
  ICD-10, but there are still some helpful ICD-10
  specific tips that OB/GYN practices need to
  remember.
• Be careful when reporting an annual GYN exam In
  ICD-10-CM, the code for an annual GYN exam is not
  included in Chapter 15. Instead, its located in
  Chapter 21.
• Document the cause of pelvic pain, if known As
  in ICD-9-CM, if OB/GYN specialists can identify
  the cause of any abdominal and pelvic pain
  associated with menstruation, they should
  document this information.
• MedisysData is an expert in billing and coding
  for OB Gyn practices. Whether you are starting a
  new practice or you want to increase revenue for
  an existing practice, enquire today to find out
  how we can help you avoid common industry
  pitfalls and help you maximize revenue.

4
(No Transcript)