Industry reports suggest that wait times due to insurance delays can range from five to twenty one days. Such delays impact both patients and healthcare providers. In spite of repeated efforts to lower authorization worries, nothing significant has been achieved.  

But imagine the impact such delays can have on the delivery of Obstetrics services and their billing processes. 

It can be fatal for patients. For obstetrics providers, that is the last thing they would want. So how can Obstetrics billing teams or staff minimize such delays? 

Well, to start, providers can begin to address this issue by implementing Obstetrics billing servicesbest practices as per their unique requirements. When considering best practices, they should be mindful of certain factors. They should take into account their payer mix, patient volumes, and common procedures. 

The indispensability of Eligibility Verification for Obstetrics Billing Claims 

Eligibility verification serves several key functions in the billing process. It helps minimize financial risks, and understand coverage benefits for gynecology services. 

Here are a few reasons why eligibility check is important in Obstetrics billing processes: 

For awareness of coverage details: Eligibility verification helps determine specific services covered by health plans. It allows for accurate billing. Knowledge of coverage benefits helps avoid claim denials due to non-coverage. 

To avoid surprise billing & expenses: When eligibility is confirmed upfront, patients are less likely to face unexpected out-of-pocket costs. This also improves patient satisfaction and reduces the payment issues. 

For swift management of request auths: Some services may require prior approval. By checking eligibility, providers can identify these requirements and obtain necessary authorizations in advance. This helps reduce approval wait times. 

Enquiring in-network & out-of-network providers: Eligibility checks can confirm providers’ network access for different health plans. This information is crucial for accurate billing and reimbursement. 

Checking the policy status: Verifying eligibility also includes checking the current status of a patient’s health plans. This helps avoid billing complications due to lapsed or cancelled policies. 

Minimizing claim rejections: Accurate eligibility verification helps minimize claim rejections. It helps ensure that all necessary information is correct and up-to-date. 

Implementing Obstetrics Billing mandates for Quick Authentication 

Obstetrics billing requirements are influenced greatly by insurance guidelines. And so, knowledge of payers’ criteria is crucial. Staff should know all standardization and formatting requirements for both regular and uncommon procedures and services.  

They should have experience working on billing claims for complicated procedures like Cervical Cryosurgery, and Ovarian Cyst Removal. This will help reduce delays and claim denials. 

Here are some best practices to reduce authorization & insurance wait times in Obstetrics billing operations: 

• Collect relevant insurance details during appointment scheduling 
• Verify insurance and coverage benefits before the appointment 
• Double-check information, documentation, and data formatting for accuracy 
• Request approvals electronically 

In short, one of the secrets to minimizing authorization delays is completing most of the time-consuming insurance tasks before the patient’s appointment. This will enable staff to be ready with all the required details to start processing the authorization request if required. 

Capitalize on Expert Obstetrics Billing Services 

Practicing obstetrics and managing some amount of admin tasks can be difficult for physicians. They need to spare time from clinical functions to do this. But with a genuine billing partner, obstetrics physician providers can pass on all administrative tasks to experts and focus patient care. 

 SunKnowledge Inc is one such partner for providers looking for billing guidance. Our Obstetrics billing services have helped numerous private obstetrics practices to reduce billing errors and optimize claim submission costs. 

To learn more about how our Obstetrics billing services helped a California-based provider to improve their claims pass rate to 98%, please contact SunKnowledge Inc, a genuine obstetrics billing extension that can change your business profitability by working as a reliable extension at all times.  

The main point on how we deploy best in class tactics to make it work out for you in obstetrics billing. Our team has precise understanding and can reduce operational expenses by almost 80% with our exclusive range of RCM services. Get to know why we are hailed as one of the best in the obstetrics billing world. We are right here to help you with all and at next door rates.