OB-GYN medical billing needs care and accuracy to make sure claims are correct and payments come quickly. It is also important that the data shows the clinic’s performance correctly. Many OB-GYN practices face a drop in revenue of about 10% every year. Below are some of the main reasons why billing is so difficult:

Keeping Up with CPT Codes

• There are many medical codes, and they are updated often.
• If the wrong code is entered, even once, it can cause long delays because insurance companies have to check and fix the errors.

Shortage of OB-GYN Billing Experts

• There are not enough trained billing professionals because the workforce is aging, many are burned out, and there are not enough teachers to train new experts.
• It is hard to find certified billing staff trained in OB-GYN billing and ICD-10-CM codes.
• This shortage makes billing even harder.

Difficult Claim Appeals Process

• When an insurance company denies a claim, it is often unclear how to appeal this decision.
• This slows down the claim and also makes the whole billing process slower.

Dealing with Underpaying Insurers

• Some insurance companies underpay for services, and it is difficult to follow up and collect the correct amount.
• Smaller or less-known insurers are especially hard to handle.

Complex Billing for Multiple Procedures

• OB-GYN procedures often involve different codes and billing steps.
• Billing for these procedures correctly takes extra time and effort to avoid mistakes.

These challenges, along with the need to keep up with new diagnoses and manage prepayments, make OB-GYN billing very hard work. Many OB-GYN practices solve this problem by outsourcing their billing. By doing so, they reduce errors and improve claim approvals and payments.