Why Are Global Maternity Claims Still Being Denied in 2026?

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Despite advances in healthcare technology and revenue cycle management, global maternity claims  continue to be one of the most challenging areas of OBGYN billing . In 2026, many OBGYN practices are still facing denied claims, delayed reimbursements, underpayments, and growing accounts receivable (AR) due to documentation gaps, coding errors, and payer-specific billing requirements. Global maternity billing combines prenatal care, delivery, and postpartum services into a single reimbursement package. While this bundled approach simplifies payment in theory, it also creates unique billing complexities that can significantly impact practice revenue if not managed correctly. As payer scrutiny increases and reimbursement rules continue to evolve, many providers are turning to specialized OBGYN billing services , medical billing services , and comprehensive RCM services to reduce denials and strengthen revenue integrity. Why Global Maternity Billing Is So Complex Global maternity billi...
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Basics of Medicare Consolidated Billing for SNFs

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Need for Consolidated Billing for SNFs

Prior to the Balanced Budget Act of 1997 (BBA), a Skilled Nursing Facility (SNF) could elect to furnish services to a resident in a covered Part A stay, either, directly using its own resources; through the SNF's transfer agreement hospital; or under arrangements with an independent therapist (for physical, occupational, and speech therapy services). In each of these circumstances, the SNF billed Medicare Part A for the services.

However, the SNF also had the further option of ‘unbundling’ a service altogether; that is, the SNF could permit an outside supplier to furnish the service directly to the resident, and the outside supplier would submit a bill to Medicare Part B, without any involvement of the SNF itself.

This practice created several problems, including the following:

  • Potential for duplicate (Parts A/B) billing if both the SNF and outside supplier billed;
  • An increased out-of-pocket liability incurred by the beneficiary for the Part B deductible and coinsurance even if only the supplier billed; and
  • A dispersal of responsibility for resident care among various outside suppliers adversely affected quality (coordination of care) and program integrity

Then Balanced Budget Act of 1997 (BBA), was enacted, containing a Consolidated Billing (CB) requirement for SNFs. Under the CB requirement, an SNF itself must submit all Medicare claims for the services that its residents receive. Conceptually, SNF CB resembles the bundling requirement for inpatient hospital services that's been in effect since the early 1980s, assigning to the facility itself the Medicare billing responsibility for virtually the entire package of services that a facility resident receives, except for certain services that are specifically excluded.

To get more information about Medicare Consolidated Billing for SNFs click here: https://bit.ly/3vmPAjQ. Get in touch with us at: info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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