Complete Billing Services for Fertility Clinics & Practices

Fertility Billing Services: An Introduction

Managing fertility centers involves a diverse range of procedures from routine health screenings tailored to women’s needs like hormonal imbalances and contraception methods, to infertility concerns like intrauterine insemination (IUI), in-vitro fertilization (IVF), donor sperm/egg/embryo, gestational carrier, egg freezing, male fertility, genetic testing for embryos, onco-fertility and more. In the last few years, embarking on the journey of assisted reproductive technology (ART), particularly through in-vitro fertilization (IVF), marks a significant step for many couples seeking to overcome infertility challenges. However, managing fertility billing affairs can be quite daunting. Navigating the complexities of medical billing & coding for fertility billing demands specialized expertise to ensure accurate documentation and seamless claims processing. At Sunknowledge Services Inc, we offer tailored fertility medicine billing and coding services, empowering gynecologists and fertility specialists to efficiently report their services and secure justified reimbursements.

Challenges Associated with Fertility Billing

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Billing and coding in the realm of fertility and reproductive medicine, pose unique challenges for most professionals due to the various intricacies of creating and submitting claims to the Payer. This is largely owing to varying coverage terms across different insurance plans, and the multitude of tests conducted at various healthcare facilities. Here are some common billing and coding errors encountered in fertility clinics and centers:

  • Failure to identify separately billable services provided within the global period
  • Misinterpretation of pregnancy coverage as a mere extension of an existing insurance plan
  • Lack of awareness regarding the comprehensive nature of pregnancy coverage, which encompasses both inpatient and outpatient services, with separate billing protocols for each
  • Inadequate documentation of policies and services rendered, leading to billing discrepancies
  • The necessity for a clear understanding of the criteria determining the “medical necessity” for coding various levels of ground and air ambulance services
  • Recognition that all laparoscopic gynecological surgical procedures involve diagnostic laparoscopy as an integral component

Did you know that…

  • HCPCS code J2675 (Injection, progesterone) is among the most utilized codes in OB/GYN, yielding significant revenue for providers?
  • Reimbursement for HCPCS codes G0101 and Q0091 is typically allowed once per year, except in cases of medical necessity?
  • CPT code 59514 (Cesarean delivery only) requires the presence of an assistant surgeon for reimbursement, as it is a highly complex and compensated service?

Supporting Fertility Experts in Focus

The healthcare landscape is evolving rapidly, with increasing cases, competitive pressures, and stringent billing regulations. Today, fertility physicians and hospitals are seeking a balance between delivering quality care and ensuring financial sustainability. As a strategic partner, our billing and coding firm supports physicians across various settings, including individual practices, multi-specialty groups, clinics, diagnostic facilities, long-term care facilities, and hospitals.

Elevate your Fertility Practice with Sunknowledge Billing Experts and Coding Services

In our billing and coding services, we understand the intricacies of this specialty, having garnered years of experience working alongside obstetricians/gynecologists/fertility experts throughout the USA. Our skilled billers and coders are proficient in navigating the complex landscape of fertility billing, from laboratory tests, abortion cases, anesthesia billing, to family planning claims and more. Our billing specialists further excel in billing across various obstetrics and gynecology specialties, including:

  • Maternal-Fetal Medicine
  • Reproductive Endocrinology and Infertility
  • Gynecological Uro-gynecology and Pelvic Reconstructive Surgery
  • Advanced Laparoscopic Surgery
  • In-vitro fertilization

By streamlining your revenue cycle with accurate charge-capture, precise coding, electronic claims filing, and efficient denial management, we provide tangible benefits to all fertility physicians. Expect increased collection rates, enhanced patient satisfaction, and more referrals, ultimately facilitating your practice’s growth and success.

Why Choose Us?

Our team of fertility billing specialists goes the extra mile to ensure efficient revenue cycle management for your practice.

Here’s why partnering with us is the right choice:

  • Exceptional productivity standards
  • Up to 80% instant reduction in operational cost
  • No write-offs or adjustment on claims without your consent
  • Customized reporting, meeting your specific needs
  • Equal expertise in both pre and post-billing
  • All-inclusive hourly rate of just $7
  • Dedicated employees with immediate accessibility
  • Outstanding references from some of the best-known names in healthcare
  • Liability insurance cover of $ 1/3 million from Geico/Hiscox for any errors of omission & commission
  • 100% HIPAA compliance
  • No binding contracts or restrictive clauses

With Sunknowledge billing solutions by your side, you can streamline every aspect of your billing journey including insurance verification, minimizing claim denials, and empowering your patients with clear insights into their coverage options. Partner with Sunknowledge billing solutions to build a more efficient prior authorization process, reduce administrative burdens, and expedite access to fertility treatments for your patients.

Experience Tailored Billing Solutions

Offering specialized expertise in infertility and reproductive endocrinology medical billing and coding, Sunknowledge today is known for delivering outstanding support solution for healthcare practices of all shapes and sizes. By entrusting your billing needs to our dedicated team, you can focus on delivering exceptional patient-care while we optimize your revenue cycle management processes. Contact us today to learn more about how Sunknowledge can elevate your practice’s financial performance and ensure improved patient satisfaction in the realm of fertility treatments.

Experience the Difference with Our Fertility Billing Services

Simplify your revenue cycle, boost your collections, and focus on delivering exceptional patient care with our comprehensive billing and coding solutions. Navigate the complexities of fertility billing with ease and confidence, only with Sunknowledge. Contact us today for a free consultation and discover what your practice has been missing so long.

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