OBGYN Underpayments in H1 2026: How Much Revenue Did Your Group Leave on the Table?

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For many OB/GYN groups, the biggest financial threat in the first half of 2026 was not claim denials—it was underpayments. Claims were approved, payments were posted, and revenue appeared to arrive normally. Yet a significant percentage of those payments may have been lower than the contracted amount, leaving thousands of dollars unrecovered. Underpayments are particularly dangerous because they often go unnoticed. Unlike denied claims, they do not create an obvious work queue. Unless payments are compared against payer contracts and expected reimbursement schedules, practices may never realize revenue has been lost. As commercial payers, Medicare Advantage plans, and managed care organizations increased reimbursement scrutiny during H1 2026, many OBGYN groups experienced growing variance between expected and actual payments. This is why more providers are investing in specialized OBGYN billing services,  comprehensive medical billing services , advanced RCM services , and proactiv...
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What are the Most Common Family Practice CPT codes?

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The year 2020 began with many significant billing and coding updates for family physicians. A study found that Family physicians could not bill for all the services provided in the majority of their visits because CPT codes for medical billing did not cover the services, a study found.
Family practice medical billing services ensure that providers do not miss out on opportunities to maximize reimbursements. The correct CPT coding ensures a smooth medical billing process. The CPT coding system provides details about medical, surgical, and diagnostic services performed by healthcare professionals or physicians.
The coding system is developed and maintained by the American Medical Association (AMA), which offers healthcare providers “a uniform process for coding medical services that streamlines reporting and increases accuracy and efficiency.”
The most common CPT codes used by family physicians for medical billing are 99213 and 99214. The CPT system and CMS Evaluation & Management (E&M) rule state that 99213 can be used if a physician treats a patient for one stable chronic condition, such as stable cirrhosis of the liver.

CPT Code 99213

The Current Procedural Terminology (CPT) code 99213 as maintained by the American Medical Association, is a medical procedural code under the range – Established Patient Office or Other Outpatient Services.
If you want to read the complete blog then click below:  What are the Most Common Family Practice CPT codes?
Location: United States

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