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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What are Current Trends in Ambulatory Practices?

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The number of visits to ambulatory practices fell by nearly 60 percent in the early stages of the pandemic which leads to financial pressure on sustainability for practice owners and administrators. Moreover, frantic patients are the main contributor to the sudden rise of daily call volumes as fear of the virus added a new layer of stress and anxiety.

In such situations, providers opted for various critical decisions as reduced staff struggled to meet the demands of patients under new safety guidelines. As a result of this turbulent time, many aspects of ambulatory practices have undergone a transformation.

Current Trends in Ambulatory Practices:

Position Yourself for Success and Sustainability

In the current dynamic healthcare environment, the efficiency and effectiveness of both your practice and business processes will drive your success. Today RCM has become more complicated and critical due to changes to payment codes, managing the intricacies of payer billing, and documentation requirements.

On the other hand, you need to focus on your ambulatory practices as the value proposition is focused on patient care which leads to outsourcing complex and rapidly evolving administrative functions to a medical billing company like us as you can’t afford to have those functions distract you from strengthening your core value.

We can help you with all your billing and reimbursement queries so that you can focus on your core competencies.

If you want to read the complete blog then click below: What are Current Trends in Ambulatory Practices?


Location: Florida, USA

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