Revenue Opportunities for OBGYN Profitability
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Unlocking the Full Potential of OB/GYN Revenue
For many OBGYN practices, revenue optimization begins and ends with patient visits and routine procedures. But what if your practice is sitting on untapped revenue streams that could significantly improve your bottom line? The key to maximizing OBGYN profitability lies in recognizing and leveraging every opportunity available—especially when it comes to laboratory services.
Private practice OBGYN clinics can leverage partnerships with laboratory reimbursement experts such as Phytest and PhytestDX to transform their profitability. Strategic models can help OBGYN practices reclaim the hidden revenue that the laboratory tests they are already ordering offer, and our team handles all of the heavy lifting.
How Ancillary Laboratory Service Costs Impact OB/GYN Revenue
Laboratory diagnostics are a fundamental component of women’s health, yet many OB/GYN practices outsource lab work without realizing the financial implications. Third-party labs take control over pricing, turnaround times, and reimbursement, leaving practices with little control over a critical aspect of patient care. With the right approach, your practice can have more control over the cost of testing, increase revenue, and provide a better patient experience by optimizing lab-related reimbursements.
Below is a table outlining some of the most ordered OB/GYN lab tests, their CPT codes, along with their typical reimbursement rates to third-party labs. These figures represent estimates based on national averages and may vary based on region, payer contracts, patient coverage, and specific lab agreements.
Test Name | CPT Code | Average Reimbursement to Labs |
Complete Blood count (CBC) | 85025 | $10-$20 |
Urinalysis | 81001 | $3-$10 |
Pap Smear (Cytopathology) | 88175 | $14-$30 |
Chlamydia and Gonorrhea | 87491, 87591 | $20-$40 |
Blood Glucose Test | 82947 | $5-$15 |
Surgical Pathology | 88305 | $70-$90 |
SMA Carrier Screening | 81329 | $70-$100 |
Fetal Chromosomal Genomic Panel (NIPT) | 81420 | $700-$800 |
For many OB/GYN practices, laboratory testing represents a necessary service rather than a revenue consideration. However, understanding the financial movement of lab reimbursements can help practices assess the full picture of their operational costs.
Typically, when a practice orders these tests:
- The third-party lab submits claims for reimbursement and collects payment from payers.
- Patients may also receive billing from the lab for any uncovered portion of the test.
- The practice, despite coordinating the patient’s care and ordering the tests, does not participate in the financial transaction.
This raises important questions for practice management when assessing ways to boost practice revenue:
- How many of these tests do your practice order per month?
- What percentage of your patients pay out-of-pocket for these tests?
- What if your practice could capture even a fraction of this reimbursement?
- Are there alternative models that balance financial efficiency with patient-centered care?
How the Right Laboratory Reimbursement Strategy Can Boost OB/GYN Profitability
At Phytest, we can help OBGYN practices explore their options to take advantage of laboratory reimbursement. By assessing your practice size, patient volume, and long-term goals, we help your practice take advantage of solutions to strengthen your bottom line.
With our managed ancillary laboratory services, OBGYN practices can:
- Continue to outsource to third-party laboratories of their choosing.
- Reduce the testing costs for their patients.
- Keep all workflows and processes the same for their staff.
- Implement our model with no upfront investment.
With our sister company, PhytestDX, OBGYN practices can transform their practice operationally, clinically, and financially by:
- Incorporating an in-house laboratory owned by the practice.
- Providing patients with greater clinical care with faster turnaround times, increased accuracy and reporting, and improved communication between providers and diagnostic professionals.
- Partnering with our team of experienced laboratory professionals to fully manage and operate the laboratory while the practice continues point-of-care focus.
Why Choosing the Right OB/GYN Lab Revenue Partner Matters
Not all OBGYN RCM service companies are created equal. Traditional OBGYN billing companies do not specialize in laboratory billing, focusing solely on office visits, procedures, and surgical claims. Laboratory consulting companies often promise high returns on their projections for in-house labs but then leave practices to fully manage and operate a laboratory on their own. This gap in both industries results in lost revenue opportunities and unnecessary administrative burdens for OB/GYN practices. That’s why working with a partner who understands lab-specific revenue opportunities in OBGYN practices is critical.
A streamlined OB/GYN laboratory reimbursement strategy ensures that practices receive full reimbursement for the services they provide, including laboratory testing.
By integrating a laboratory reimbursement strategy into your practice’s financial model, you can:
- Take more control over the costs of laboratory tests your practice is already ordering.
- Increase patient satisfaction by providing them with lowered lab bills, an expert support team that can answer all questions about their lab bill, and promote greater follow-through with care plans.
- Improve cash flow by leveraging laboratory reimbursements as an additional revenue stream.
Take Control of Your Practice’s Financial Future
For practices looking to improve profitability and add another stream of revenue into their OBGYN RCM, a strategic focus on laboratory reimbursement is a must. Partnering with a team that specializes in revenue cycle management for OB/GYN laboratory claims ensures that every dollar is accounted for while keeping your practice financially strong.
Contact us today to explore how optimizing your lab reimbursement strategy can transform your OBGYN private practice into a more profitable, efficient, and patient-centered operation.
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