When it comes to running an OBGYN practice, the last thing you want to be worried about is trying to bill patients instead of treating them. However, it’s a necessary part of running an OBGYN practice. To help you get your billing in order, you may want to partner with a billing company to save time and get your billing in order. Here are the top 5 OBGYN billing companies we could find with our own research.

Editor’s Note: Most of these providers handle a wide array of specialties and are not solely focused on OBGYN practices. However, most of their services can be directly applied to OBGYN practice. 

Disclosure: Some of these companies partner with 360connect such as Invoisync, Advanced Data Systems Corp., Advanced MD, and ClaimCare.

Top 5 OBGYN Billing Companies

1. Kareo
2. Medical Billing Wholesalers
3. AdvancedMD
4. Invensis
5. Invoisync

Kareo

Kareo is one of the leading providers of medical billing. Kareo’s network of trustworthy billing firms attempts to match practices with high-performance partners to maximize reimbursements. The service takes advantage of Kareo’s integrated cloud-based platform, allowing for seamless cooperation between a practice’s front office, clinical teams, and outsourced billing partners. This also includes using partners that specialize in specific specialties like OBGYN.

Services:

• Scheduling calendar
• Charge capture at the point of care
• Use of a nationwide rules engine to make cleaner claims easier
• Claims tracking
• Combing billing into one inbox
• Billing analytics
• Streamline workflows
• And more!

Kareo offers itself as a partner for managing the intricacies of OBGYN medical billing, providing a solution that is suited to each practice’s unique needs rather than one-size-fits-all.

Medical Billing Wholesalers

Medical Billing Wholesalers (MBW) provides specialized OB/GYN billing and coding services that meet the unique issues of billing in obstetrics and gynecology. This includes dealing with complexity like global claims, various coverage terms, and a large number of tests performed across multiple locations. They provide a wide range of OB/GYN services, including maternal-fetal medicine, reproductive endocrinology, and more. MBW focuses on implementing best practices, optimizing billing processes, and utilizing contemporary technology to reduce denials and boost income, ultimately providing a comprehensive solution to improve the financial health of OB/GYN offices.

Services:

• CD-9/10, CPT, HCPCS coding
• Medical auditing
• Denials claim management
• Patient access like scheduling, prior authorization, patient registration
• Building out a reimbursement process
• Charge entry
• AR follow-up
• Revenue cycle analytics
• And more!

Medical Billing Wholesalers are attractive options because of their specializations within OBGYN practices along with their knowledge of billing practices.

AdvancedMD

AdvancedMD provides comprehensive revenue cycle management (RCM) services that simplify billing operations and improve financial performance in healthcare practices. Their outsourced billing services are backed up by a team of billing experts who oversee the entire revenue cycle, resulting in better claims acceptance, faster reimbursements, and more money. They are one of the top providers in the industry of medical billing services. AdvancedMD’s RCM services are adaptable to both long-term and short-term needs, allowing practices to switch between in-house billing and outsourcing with ease. Meaning you have the flexibility to switch between the services.

Services:

• Experience claim professional to handle all of your claims
• Customized medical billing reports
• Combing your outsourced medical billing with AdvancedMD software to have full access to financials even when outsourcing
• Handling unpaid claims, appeals, secondary filings, exclusions, and denials
• Customized service levels for short-term outsourcing use or long-term usage.

AdvancedMD positions itself as a solution for practices just starting out as well as those that are established. You can mix and match the services you need to find the level that best works for you.

Invensis

Want error-free billing from an experienced team? Invensis can be that OBGYN billing company that can make all the difference. They can handle common tasks like computing out-of-pocket expenses, helping prevent errors and reimbursement troubles. With over 22 years of experience and a staff of 5000+ specialists, Invensis strives to provide error-free billing to help healthcare providers collect dues efficiently. Invensis has the reputation to back up their claims as well, working with companies like Amazon, Qatar Airways, Swift, and others.

Services:

• Patient registration
• Insurance verification
• End-to-end provider billing
• Coding capabilities such as ICD-10, CPT, and others
• Claims submission
• Payment posting
• Pre-submission audits so you don’t have to worry about denied claims
• Can interface with different types of medical billing software such as Dr.Chrono, KareoBilling, and others
• HIPAA compliance and regulatory support

Invensis is an attractive option because it can streamline the entire billing process and mostly interface with your existing software. That helps you save time and makes sure you are still able to stay on top of your billing without having to switch between software.

Invoisync

Invoisync focuses on medical billing and revenue cycle management, with the goal of assisting medical professionals in optimizing revenue operations, mitigating financial risks, and focusing on practice growth. They provide a comprehensive range of services geared to optimize cash flow and revenue operations by leveraging existing processes. Invoisync can be a great option for OBGYN practices.

Services:

• Certified coders and billers that work with both EMR and EHR systems
• Medical coding
• Eligibility verification
• Charge entry
• Claim management and denial follow-up
• Electronic and paper claim submission
• Prescription processing
• Can tack on other services like accounting, credentialing, patient interaction
• And more!

Invoisync can really be your one-stop shop for all of your billing needs and help you tackle other vital services like credentialing. You can simplify your life with Invoisync and get up and running with their service quicker than hiring and training full-time staff.

Pricing of OBGYN Billing Companies

You may be thinking to yourself “Alright, but how much is this going to cost me?” Well, that depends. Most providers will charge a percentage of each claim processed. For instance, this could be 3% of a $500 claim. Some providers may just charge a flat fee per claim. So, they could charge you $30 per claim no matter the price of the treatment. Others may combine these types of pricing for a custom quote or some mixture of different types of pricing.

Complexities of OBGYN Medical Billing

The complexity of OBGYN medical billing stems from the diverse spectrum of services provided by obstetrics and gynecology practices, which vary from simple wellness examinations to surgical operations. These intricacies mean that you need a detailed understanding of medical billing procedures, coding standards, and insurance laws to get the most out of patient bills.

Difficult Coding

OBGYN services frequently use global billing codes that encompass a wide range of services, such as prenatal visits, birth, and postpartum care. Having an in-depth knowledge of coding is key. The use of modifiers in OBGYN billing is crucial, especially when services differ from the norm. Modifiers show when a procedure is more complex than typical. Not to mention, you’ll need to keep up with standards that affect coding. Using medical billing can help you improve your coding.

Verifying Patient Insurance

Verifying the specifics of what a patient’s insurance plan covers, including which services are considered essential health benefits, can be challenging. This makes it difficult not only to know what to code, but how some reproductive care is billed versus other essential care. Additionally, OBGYN medical billing is always changing because of changing laws. Insurance coverage can also change due to a patient getting new coverage, changing jobs, etc.

Managing Denials & Rejections

Denials cause lost revenue for practices and damage doctor's ability to run their practices. Outsourcing your medical billing can help you prevent denials, make sure you have the correct coding, and gain pre-authorization. When claims are denied, medical billing companies can help you navigate that denial process. 

Staffing & Training for OBGYN Billing

Lastly, one of the hardest parts of billing is keeping and training talented staff. The medical billing industry is competitive, which makes it hard to keep knowledge keepers on your staff. With outsourcing, you don't have that problem. Instead, you can focus on just making your practice better and more efficient.

Looking for an OBGYN Billing Company?

Don't worry, 360Connect can help you find the right billing company for your OBGYN practice. Just fill out our 1–2-minute form and then we'll contact you to verify your information and needs. From there, up to 5 suppliers will reach out to you with quotes. This process is 100% free to you!