Friday 24 August 2018

Strategies for Appealing ob-gyn claim denials

Denial Management is a thorn in the flesh for most medical practices. But there are some specialties that have an exceptionally high denial rate. Obgyn is unfortunately, one of them. Denial rates in this specialty are the highest at a whopping 22.42%. Denials are an everyday occurrence for most obgyn centers. But that doesn’t mean you need to live with them. Most denials are “soft” and with some effort be easily overturned. The cost of handling a denied claim is on an average $25. It considerably adds up to the administrative and financial burden of a practice.
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Recently BiIlingParadise worked with an ob-gyn practice that was facing a financial slump. Upon analysis, we found that their previous biller had no experience in billing for antepartum codes and also repeatedly missed adding Modifier QW for screening services. This led to a high number of denials and a steep downturn in revenue for the ob-gyn practice. The appealing process was extremely tough given that most claims were also way beyond the timely filing limit. This story does have a happy ending. We managed to increase the revenue of the ob-gyn
center by 60% within a few months.

Here is the Video of One of our obgyn manager Reveals how Billingparadise helped her Practice Increase Revenue by 60%



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