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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Enhance Pathology Revenue with a Smooth Billing Process

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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

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