Stop Losing $$$ on Well Woman Exam Claims — CPT Coding Best Practices for Gynecology Practices

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Well-woman exams sound simple. They’re not. Gynecology practices lose thousands every year because payers deny, downcode, or bundle these visits due to coding errors, missing documentation, or confusion between preventive vs. problem-oriented care . If your practice is seeing unpaid or underpaid Well Woman claims, here’s the reality: It’s not the payer. It’s not the patient. It’s your coding workflows—and they’re costing you real money. Below is the no-nonsense breakdown of how to stop revenue leakage immediately. Why Gynecology Practices Keep Losing Money on Well-Woman Exams Most losses happen because of wrong CPT/ICD pairing , incorrect use of preventive codes, and failure to separate problem visits from preventive services. Top revenue killers: 1. Using the wrong preventive CPT code Common mistakes include: Billing 99381–99397  is incorrectly based on age Missing counseling or preventive components that justify higher-level codes Treating a preventive exam...
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How can Streamlined Cardiology Billing Change your Decision to Sell your Private Practice?

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Uncertainty over healthcare reforms, rising costs, and failing payer reimbursement are a portion of the factors because of which cardiologists are selling their private practice to hospitals. Broad inclusion of billing and coding for cardiology specialties like – General Clinical, Interventional, Nuclear Specialty, Heart Failure, Transplant, and surgery–has been urgent. 

  • According to the US Physician and Payer Forum report of 2013, roughly 18% of cardiologists at independent practices foreseen that they will be claimed by an emergency clinic by 2014 
  • According to MedAxiom's "2013 Annual Integration Report," 53% of cardiology bunches were completely integrated with an emergency clinic, an increase from 32% in 2011. This rate included selling just as leasing practices 
  • According to a study in 2012 by Merritt Hawkins, the medical industry may see 75% of the country's physicians employed by hospitals in 2014 

Financial concerns, as well as new regulations shortage of skilled doctors, and pay-for-quality initiatives, are growing tension on cardiology practices. While a few suppliers are selling their practice willingly for financial benefits, others are being forced to sell their business as running a private cardiology practice has gotten troublesome. 

Is your cardiology billing streamlined? 

The financial pressing factor is increasing on cardiologists and matters can deteriorate if more cash is lost because of cardiology billing errors. Cardiology coding is profoundly perplexing, therefore it is vital to guarantee timely, blunder-free claim accommodation in request to maintain a steady cash flow. 

In the event that you are additionally planning to sell your cardiology practice because of financial issues, a streamlined billing procedure can help reinforce the financial strength of your business and get you in the groove again. 

How to streamline your cardiology billing procedure? 

  • You should employ experienced coders and billers who have sufficient information on unique terminologies and who can code interventional procedures accurately 
  • In the event that you have an in-house billing department, you should lead training sessions in request to set them up for changes in cardiology coding and billing regulations 
  • They will likewise be trained on the most proficient method to advance deferred or denied claims or, in all likelihood your practice will lose more cash 
  • With the execution of HIPAA-5010, coders, and billers should be trained in carrying out HIPAA-compliant medical billing 

Considering the pressing factor caused by healthcare reforms and the absence of skilled staff, cardiology practices are finding it hard to concentrate on billing requirements. In such cases, hiring a billing company is by all accounts a practical decision as it will help suppliers sail through reimbursement challenges and reinforce the financial wellbeing of their practice. 

  • A presumed billing company will offer a group of very much trained, professional coders and billers certified in ICD-10 coding 
  • You will actually want to appreciate a speedy turnaround 
  • The billing accomplice will offer a 99% accuracy rate, ensuring quicker payment with a reduced-denial rate 
  • Your practice will likewise get every minute of everyday customer support 

Medicalbillersandcoders.com is one such presumed billing company that has been helping suppliers, including cardiologists sail through billing difficulties. MBC has a specialist group of certified coders and billers who handle RCM of cardiology practices and guarantee timely reimbursements. The group works with the plan to streamline billing procedures, maximize revenue, and minimize claim denials, offering sufficient time to cardiologists for patient care.

Location: 108 W 13th St, Wilmington, DE 19801, USA

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