Some of the medical billing and coding changes made last year (in 2014) are likely to modify the incomes of OB/GYN clinics in the year of 2015. For example, a decrease in the assigned relative value of units may a reduction in payment for the converted codes. Further, OB/GYN doctors and surgeons are required to document and provide the level of service for all measures of preoperative and postoperative care. Such changes have altered the standards of OB/GYN billing and coding, and thus the processes used by medical clinics who provide such services.

obgyn billing and coding

Here are several tips OB/GYN billing and coding for medical procedures specific to OB/GYN:

Learn New OB/GYN Codes & Billing Processes

1. Get familiarized with the new coding updates made by the American Medical Association in the year 2014. AMA has released 335 changes to the Current Procedural Terminology, including several code additions.

Hysterectomy bundling requires including anterior/posterior colpopexy and colporrhaphy procedures into the laparoscopic-assisted and vaginal hysterectomy codes. New codes were added for fetal chromosomal aneuploidy for genomic sequencing, analysis of chromosomes, human papillomavirus low-risk, human papillomavirus high-risk, human papillomavirus types 16 and 18 only, vaccination codes and others. This OB/GYN coding change may be significant affect the payment.

With respect to the latter changes, amongst these changes is a new code for laparoscopy surgical ablation of uterine fibroid(s), including radiofrequency and intraoperative ultrasound guidance and monitoring. These changes in the Current Procedural Terminology and coding updates went into effect on January 1, 2015. Knowing the new coding updates will help OB/GYN clinics to ensure that they can maximize reimbursement and their claims will be unnecessarily denied.

Avoid Common Causes of OB/GYN Billing Denials

2. OB/GYN clinics need to ensure they avoid the common causes of denials. According to statistics, among the top five unexpected denied procedures by Current Procedural Terminology code for the OB/GYN medical specialty are the following:

  • 99214: Outpatient doctor visit, level 4
  • 99213: Outpatient doctor visit, level 3
  • 81002: Urinalysis non-automated without scope
  • 99000: Specimen handling office-lab
  • 36415: Routine blood capture

These denials have the following top five reasons:

  • 18: Duplicate claim/service
  • 97: Benefit for service was included already in the payment for another procedure
  • 234: Procedure is not paid separately.
  • 16: Claim lacks information or has errors
  • 96: Non-covered charge(s)

It is because of the common denials why many clinics opt for professional OB/GYN billing services. A highly-specialize OB/GYN billing service, like that of Practice Management can offer a great solution for OB/GYN clinics that are confused with respect to these complicated billing matters.

Adopt a Good System for ICD-10 Billing Claims

3. Good preparation of billing claims for ICD-10 is vital. Among the tips for a better ICD-10 transition in the medical field of OB/GYN field, we can recommend the following:

  • Document the cause of pain in pelvic area. In case that the cause of pelvic pain is known and diagnosed, the physicians working in the OB/GYN field should well document this information.
  • Document specific trimesters. For example, on the first trimester the supervision of pregnancy with a history of infertility is equated with the ICD-10-CM code O09.01.
  • Ensure that you take the most care when documenting the annual gynecological exam. Now the code for an annual GYN exam is changes and instead of chapter 15 as before it is presently included in ICD-10-CM chapter 21. Do not get confused and misuse the Code Z01.4, which denotes just a routine gynecological exam and not the annual gynecological exam.
  • It is also recommended to carefully document everything in regards to migraines. For instance, when a patient complains of some chronic migraines related to menstrual cramps specify that the patient has menstrual migraines.
  • Also carefully document any reasons for fetus visibility scans. When documenting the fetus visibility scans, it is required to specify if there are any signs indicating a possible miscarriage or it is just a routine screening.
  • Specify any possible pregnancy complications related to the patient’s age. For example, in case that a patient is older than 35 years of age, you should indicate if her age may affect delivery.

For more help on how to address these issues and optimize your OB/GYN billing processes, consult with, a leading medical billing company with a high degree of expertise providing OB/GYN billing services and consulting.

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Made in America and a leading manufacturer and supplier of rotary cutters and lawn mowers for over 60 years, Bush Hog is a highly-trusted name in the agriculture industry. Bush Hog’s product line is extensive, ranging from zero-turn and finishing mowers to backhoes, post-hole diggers, seeders, spreaders and aerators. Additionally, Bush Hog landscaping and tillage equipment, loaders, and other more specialized equipment from most of Bush Hog’s product line. Bush Hog

There’s no doubt, Bush Hog is one of the largest suppliers of its class in the industry. As a result, finding Bush Hog parts and replacements need to be a simple and easy process. If you’re in need of Bush Hog replacement parts, below are three leading online dealers of Bush Hog parts that offer competitive prices and variety of parts.

German-Bliss Equipment

German BlissGerman-Bliss Equipment is long-standing dealer that offers the largest selection of Bush Hog parts, equipment and more. In addition to offering one of the most comprehensive and easy-to-navigate inventories of Bush Hog replacement parts, German-Bliss Equipment is also well-known to provide speedy shipping and secure online ordering. Customers can order parts by telephone, email, or by using the website’s online shopping cart.

German-Bliss Equipment’s online parts store offers various payment options and also have encryption technology ensuring the safety of your sensitive information. Other features include financing promotions on various manufacturers as well as repair specials. Rental equipment and used equipment are other offerings provided by this online dealer of Bush Hog parts


messicksMessick’s is another supplier of Bush Hog parts as well as more than 250 other brands in the industry. The company has been around since 1952 and are definitely a trusted name in the agricultural industry. The site offers a convenient search features and all you have to do is enter the Bush Hog parts you require to find information, stock availability and pricing. Alternatively you can order parts by telephone.

There is a guarantee that 90% of its parts orders are shipped within one business day. Other great features include a dedicated precision farming website and a Bush Hog Parts App which can be downloaded on Android and iOS compatible devices. Customers will find a huge variety of Bush Hog replacement parts and other agricultural equipment and services.

Ag-Pro Companies Ag Pro Companies

Ag-Pro Companies and Bush Hog parts have been joined in business together for many years. Ag-Pro Companies claim to offer the most competitive pricing on all Bush Hog parts. There is also a servicing and warranty dealer for Bush Hog Equipment. Its selection of Bush Hog parts is wide ranging. It offer live chat services related to purchases and stock a wide variety of brands in agricultural equipment.

Ag-Pro Companies also has a dedicated section for requesting parts and quotes. Not only does the site offer online shopping services but also additional services such as pre-owned equipment, dealer services and dealer information. Customers can also purchase a find range of tools from Ag-Pro Companies.

Bush Hog parts are widely available and can conveniently be bought online. These websites can be used to find and purchase all Bush Hog parts that you may require. Some of them offer great additional services and agricultural equipment.

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