How Can Practices Close AR Gaps in Maternity Billing?

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Practices can close AR gaps in maternity billing by strengthening documentation, improving global package accuracy, managing denials proactively, and tightening revenue cycle workflows. Maternity billing is complex due to bundled payments, long global periods, and payer-specific rules. When processes are inconsistent, accounts receivable (AR) grow, cash flow slows, and revenue leakage increases. Understanding where AR gaps originate is the first step toward fixing them. Why Do AR Gaps Occur in Maternity Billing? Maternity billing AR gaps often result from errors in managing the global maternity bundle. Common causes include: Incorrect global package billing Missed charges outside the bundle Delayed claim submission Authorization errors Incomplete documentation Because maternity care spans months, small billing mistakes compound over time. How Does the Global Maternity Package Affect Accounts Receivable? The global maternity package includes prenatal visits, deliver...
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Primary Care First (PCF) and Alternative Payment Models

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Primary Care First Model Options is a set of voluntary five-year payment options that reward value and quality by offering an innovative payment structure to support the delivery of advanced primary care. It will help in prioritizing the doctor-patient relationship; enhancing care for patients with complex chronic needs and high needs, seriously ill patients, reducing administrative burden, and focusing financial rewards on improved health outcomes. Primary Care First Model Options will be offered in 26 regions for a 2020 start date.

Background

Primary care is central to a high-functioning healthcare system and thus, there is an urgent need to preserve and strengthen primary care as well as a need for support of serious illness care services for Medicare beneficiaries. PCF will focus on advanced primary care practices ready to assume financial risk in exchange for reduced administrative burdens and performance-based payments. PCF also encourages advanced primary care practices, including providers whose clinicians are enrolled in Medicare who typically provide hospice or palliative care services, to take responsibility for high need, seriously ill beneficiaries who currently lack a primary care practitioner and/or effective care coordination – population groups referred to under the model as the Seriously Ill Population or SIP.

Looking for more information about Primary Care First alternative payment model click here: https://bit.ly/3BBrrrL. also you can get in touch with us at info@medicalbillersandcoders.com or call us at 888-357-3226.

Location: California, USA

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