Know About the Major Components of OBGYN Medical Billing Services

You know, with all the new rules, codes, and changes in how payers reimburse, medical practices have a lot more billing work to handle. In your OBGYN care, you must have the sound knowledge and expertise on the latest CPT, ICD-10 and HCPCS codes and critical modifiers. The truth is that your OBGYN medical billing service is a complex affair and managing it alone yourself can be a cumbersome affair for you. It is always important for you to follow the crucial tips mentioned below- 

Tips to implement a robust OBGYN medical billing service:  

In your maternity care, you always responsible for handling antepartum care, delivery services, and postpartum care. The major components that impact your overall OBGYN billing services are- 

Global period:  

You should know that the global period is the time when any extra care you give is already covered in the main payment for a service. For ob-gyn care, the global period for pregnancy covers everything—before, during, and after delivery. For surgeries, the global period changes depending on what kind of surgery it is. When you are billing for pregnancy, the global period starts from the first visit when the pregnancy is confirmed and goes all the way through the postpartum time—56 days after a vaginal delivery or 90 days after a c-section. 

• Checking patient history and the physical examination that you perform on a regular basis before a major surgery should be billed under the global package. You should never bill them separately.  
• You can bill separately for a patient’s surgical clearance if they have conditions like high blood pressure or heart problems. But usually, it’s another doctor, not the one doing the surgery, who handles these clearances. 
• You should know that most hospital procedures come with a global period of either 10 or 90 days. During this time, you can’t bill separately for any related check-ups or evaluations, and you need to use the right modifiers to show what services were done. 

Now, it is really important for you to know about the frequently used CPT codes in your OBGYN billing service:  

Global OBGYN care CPT codes:  

You must remember to use the right OBGYN codes for routine pregnancy care: 

• 59400: You should always assign this particular code for the regular pregnancy care in your OBGYN center. It includes check-ups, vaginal delivery (with or without episiotomy or forceps), and postpartum care 
• 59510: is for regular care that includes check-ups, a C-section delivery, and postpartum care. 
• 59610: is for care that includes check-ups, vaginal delivery (with or without episiotomy or forceps), and postpartum care after a previous C-section. 
• 59618: is for care that includes check-ups, a C-section, and postpartum care after trying a vaginal delivery following a past C-section.

You should bill the global OB code when the same group of doctors or healthcare professionals handles all parts of pregnancy care. Don’t use separate billing codes for each check-up related to pregnancy—they’re all part of the package! 

You have many tech options to make your OBGYN medical billing services easier, like electronic health records and billing software. But you can also team up with a medical revenue cycle management company to make everything even smoother for you! 

Sunknowledge: The perfect operational extension 

For over 15 years, you’ve trusted us to deliver top-notch solutions for providers across the country. Not only do we specialize in OBGYN medical billing services, but we also make things easier for over 30 other specialties. We’re proud to be the only RCM company that helps both payors and healthcare pros like you! 

You can count on us to handle all your admin work, from start to finish, while you focus on your patients. Teaming up with us means you’ll boost your practice’s efficiency, improve care quality, and increase revenue—all at once! Want to know how we do it? Our experts are just a call away!