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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Benefits of Outsourcing Ambulatory Surgical Centre (ASC) Billing

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Challenges of Ambulatory Surgical Centre (ASC) Billing

Ambulatory Surgical Centre (ASC) billing and coding are completely different from the rest of medical specialties or the usual physician billing or even facility billing as they majorly are a combination of hospital and physician medical billing. Plus Ambulatory Surgical Centre (ASC) billing involves specialties like orthopedics, pain management, bariatric surgery, podiatry, ophthalmology, obstetrics, gynecology, endoscopy, and dental. CMS and Medicare allow only certain surgical procedures can be done in ASC, which makes the billing and reimbursement from Insurance difficult with restrictions on out-of-network coverage. Frequent release of upgrades in coding guidelines and billing regulations can add up to the complexities involved in billing and coding for ASC. Sourcing and retaining highly experienced ASC billers and coders can be a pain point and outsourcing Ambulatory Surgical Centre (ASC) billing could be the only solution.

Benefits of Outsourcing Ambulatory Surgical Centre (ASC) Billing

Outsourcing Ambulatory Surgical Centre (ASC) billing offers a lot of benefits over in-house billing, some of which are listed below:

Inadequate or inexperienced staff can affect the revenue cycle management and monthly collection. Offshore Outsourcing can mean you have an expert team to rely on at times of hardship or uncertainty. Outsourcing ASC billing can be beneficial in many ways as listed below:

To get more information about the Benefits of Outsourcing Ambulatory Surgical Centre (ASC) Billing click here: https://bit.ly/3sU45Kd. Get in touch with us at: info@medicalbillersandcoders.com/ 888-357-3226.


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