Is Your Current OBGYN Billing Company Recovering Every Denied Global Package Claim?

-
Image
Denied Global Package claims remain one of the largest sources of lost revenue for OBGYN practices in 2026. While many billing companies focus on submitting claims accurately, far fewer have the expertise and resources to recover denied maternity claims efficiently. As payer policies become stricter and documentation requirements more detailed, practices cannot afford to overlook denied claims that represent thousands of dollars in potential reimbursement. A single denied global maternity claim often includes reimbursement for prenatal care, delivery, and postpartum services. If these claims are not appealed promptly and correctly, practices experience delayed payments, increasing accounts receivable (AR), lower collection rates, and avoidable revenue leakage. This is why many providers are evaluating whether their current billing partner truly delivers specialized OBGYN billing services , comprehensive medical billing services , advanced RCM services , and strong Revenue Integrity p...
Post a Comment

Enhance Pathology Revenue with a Smooth Billing Process

-



The constant change in the healthcare industry has impacted timely reimbursement for medical practices over the past few years. Pathology Medicare and Medicaid have gone on a reduction spree as far as physician reimbursements are concerned. Most third-party payers like Cigna and Aetna are keener on signing up contracts with physicians that focus on fee-for-service, where the reimbursement is less than 100% more often than not.

Here are a few ways to enhance revenues and have a perfect billing process in place.

Be Familiar with your LCDs

Pathology billing companies need to be familiar with Local Coverage Determinations (LCDs) and know the ins and outs of how they are related to various specialties and other frequently billed services. LCDs give a crystal clear picture of the instances when some procedures are covered by Pathology Medicare. They will also indicate the specific circumstances under which a procedure is considered appropriate and absolutely necessary. One can also find details on coding guidelines that facilitate reimbursement faster and without any hitches. 

Be thorough with your Electronic submission reports

Submission reports can come in very handy for a Pathology Billing Services provider while verifying various claims that are submitted. They can easily track the claims received by the payers. The reports also help keep track of the rejected claims and know about the reasons why they were rejected. Pathology billing companies can intensely review such reports to ward off probable denials, make necessary corrections and resubmit the claims immediately. Claims that did not reach the payers can also be investigated and scanned for errors, which can be corrected before resubmission.

To know more about our Pathology Billing Process click here: https://bit.ly/3V9TBDf Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

Comments

Post a Comment

Popular posts from this blog

Is Your Neurology Billing Outsourcing Helping or Hurting You at Year-End?

-
Image
  As year-end approaches, neurology practices face a crucial decision: Is your billing outsourcing truly improving your financial performance, or silently affecting your revenue? Neurology billing is complex due to time-based coding, modifier usage, high documentation requirements, frequent audits, and prior authorization challenges. If your billing partner lacks neurology-specific expertise, it may lead to claim denials, revenue loss, and compliance risks. Signs Your Neurology Billing Outsourcing Is Helping If your billing partner is performing well, you will see: • Reduced denial rates for neurology codes (EEG, EMG, Botox, Nerve Conduction Studies) • Faster reimbursements and fewer delays from payers • Active recovery of old AR beyond 60, 90, or 120+ days • Accurate CPT, ICD-10, and modifier usage for neurology procedures • Clear billing reports, denial analysis, and revenue insights • Compliance with Medicare, commercial payers, and documentation standards Warning ...
Read more

How Hidden OB-GYN Billing Errors Are Quietly Costing You Millions Each Year

-
Image
  The Silent Revenue Leak in OB-GYN Practices Most OB-GYN practices don’t realize they’re bleeding money. Not in dramatic, headline-grabbing ways, but quietly, steadily, month after month. The phones are ringing, appointment slots are full, deliveries are happening, and yet the numbers never seem to match the effort. Sound familiar? This is often the first sign of hidden OB-GYN billing errors working behind the scenes. These errors don’t announce themselves. They don’t crash your systems or send angry alerts. Instead, they slip through claims, hide in coding nuances, and quietly shave thousands—or millions—off your annual revenue. OB-GYN billing is uniquely complex compared to other specialties. Between global maternity packages, split billing scenarios, high-risk pregnancy coding, and ever-changing payer rules, the margin for error is enormous. A single missed modifier or incorrectly bundled service might seem insignificant on its own. But when repeated across hundreds or thousand...
Read more

The #1 Reason ASCs Lose Revenue from Medicare Claims (And How to Fix It)

-
Image
Ambulatory Surgical Centers don’t lose Medicare revenue because of low case volume. They lose it because of one recurring, preventable failure: Incorrect coding and documentation for Medicare’s ASC-specific payment rules. This single issue triggers denials, underpayments, delayed reimbursement, and permanent write-offs — especially at year-end. If your ASC’s Medicare revenue feels unpredictable, this is why. The #1 Revenue Killer: Not Billing Medicare the “ASC Way” Medicare does not treat ASCs like hospitals or physician offices. Yet many ASCs still: Use hospital-style assumptions Miss ASC-only payment rules Underestimate Medicare’s bundling logic The result? Claims get paid less than expected — or not at all. Where Medicare ASC Claims Go Wrong 1. Incorrect CPT eligibility for ASC payment Not every CPT code is payable in an ASC setting under Medicare. Common mistakes: Billing procedures not on Medicare’s ASC approved list Assuming “covered in hospital” = “covered in ASC” Missing annual...
Read more