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

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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...

ASC Coding And Billing: Knowing What’s Important

 

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The basics of ASC Coding And Billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. ASCs use a combination of hospital and physician billing. Although ASCs use CPT and HCPCS Level II codes to bill most of their services (as do physicians), some payers will allow an ASC to bill ICD-10-CM procedure codes (like a hospital). Some payers even base implant reimbursement on revenue code classification.

One of the most fundamental differences between billing for professional services and billing for ambulatory surgery center services is the concept of the global surgical package. The global package applies to the professional component of a surgical service that is performed when using a surgical CPT code. On the professional side, this typically encompasses a 90-day follow-up. In the ASC billing methodology, no such surgical package exists.

Therefore, each time a patient enters the operating room represents a unique and separate encounter and has no historical economic relationship to previous encounters. This is a very important difference and very often leads to the need for qualifying modifiers. Those modifiers tend to clarify a situation such as returning to the operating room on the same day or returning to the operating room by another doctor on a different date.

To know more about ASC Coding And Billing: Knowing What’s Important click here: bit.ly/3EFQc8y Contact us at info@medicalbillersandcoders.com888-357-3226.

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