Specialties Fertility & Reproductive Medicine Billing
Specialty billing / Women's Health
Fertility & Reproductive Medicine Billing
Mixed cash and insurance workflows handled cleanly
Why it is different
What makes fertility & reproductive medicine billing billing harder
Denials that never get worked
A denial that sits for 90 days is usually a write off. Most in-house teams do not have the hours to appeal every one, so the easy ones get worked and the valuable ones expire.
Revenue that quietly leaks
When claims go out late or coded loosely, the shortfall does not show up as a crisis. It shows up as collections that are always a little lower than they should be.
A front office buried in admin
Staff hired to care for patients spend the day on hold with payers and re-keying forms. That is expensive time spent on work a good billing partner should absorb.
Coding fluency
The codes, modifiers and rules we handle
- Specialty specific CPT and HCPCS selection
- Correct modifier use for your procedures
- ICD-10 coding to the documented level of detail
- Payer specific prior authorization rules
- Medical necessity and documentation checks
- Bundling and NCCI edit review
We keep current with payer policy for your specialty, so claims go out coded to the documentation and priced correctly the first time.
Built around your practice
Billing shaped to how fertility & reproductive medicine billing actually works
Most practices see cleaner claims, fewer denials and faster payment within the first month of moving fertility & reproductive medicine billing to Practice Claim.
- Every claim scrubbed against current payer rules before it is submitted
- AI prepares and flags, a trained biller reviews and decides
- Denials worked the same week, not left to age into write offs
- Runs inside the EHR and practice management system you already use
Talk to a fertility & reproductive medicine billing billing specialist
What is included
What your practice gets
- Claim submission, follow up and payment posting
- Denial management and appeals
- A dedicated, specialty trained billing team
- Real-time financial dashboard access
Why Practice Claim
Numbers we put in writing
Sub-5%Claim denial rate, guaranteed in your agreement
24 to 48Hours from encounter to clean claim submission
2.99%Of collections for full revenue cycle management
Real timeFinancial dashboards, not a monthly PDF
Related
More in Women's Health
Questions
Answers, straight
Do we have to move off our current EHR?
No. We work inside the system you already use, and we integrate with the major EHR and practice management platforms. Moving to our own EHR is an option, never a requirement.
How long does it take to go live?
Most practices are fully live within about four weeks, including a parallel run where we bill alongside your existing process so you can compare results before anything switches over.
What does it cost?
Full revenue cycle management is 2.99% of collections, so we are paid on what is actually collected for you. Our EHR and practice management platform is $250 per month and can be taken on its own.
Is a person reviewing what the AI does?
Yes. The AI flags and prepares, a person decides. No claim is submitted and no code is finalized without human review, and complex or clinical situations escalate to a named person.
How is the sub-5% denial rate guarantee measured?
On claims we submit, as a percentage of total claims submitted in a period. The exact definition is written into your agreement, and denials caused by information we never received are handled separately and flagged to you.
Practice Claim handles patient financial and clinical data under HIPAA-compliant processes. We do not claim certifications or accreditations the company does not hold.
See what your fertility & reproductive medicine billing billing could collect
Book a free consultation. We review a sample of your claims and show you where the revenue is going.