When we talk about healthcare we talk about the patient care, however, we forget that patient care is fulled by physicians. US healthcare system has been facing physician shortages across specialties and practice areas. The problem is acute for OB-GYN specialty, according to the American Congress of Obstetricians and Gynecologists (ACOG) continues to project a shortage of up to 8,800 OB-GYN physicians in 2020.
Legion Healthcare Solutions (LHS) is working with various payers to ease the system burden on OB-GYN physicians. OB-GYN practice has gone under a myriad of changes, with a length of procedure to define rules for reimbursements/ payment posting, majority of procedures are interlinked and out of pocket for a patient.
“OB-GYN billing has seen changes over last five years, it even differs based on the states so at Legion we continuously monitor both state and federal regulations. We have a majority of the claims coming in which are pregnancy-related and in some cases emergency, making the billing difficult for us. We usually keep verification of benefits as the first step when the patient walks in; this actually helps us to communicate with the patient as to what their insurance company covers and what is not.”
– OB-GYN billing lead at Legion
Verification of benefits even helps cover the various procedures that might be required by the patient in the future, Legion believes in communication and an open system for billing.
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