Why Is OBGYN AR Aging Beyond 90 Days? The 2026 Causes and How to Recover It

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  Introduction: Why AR Aging Is Becoming a Serious Financial Threat OBGYN AR aging beyond 90 days has become one of the most serious financial problems affecting women’s healthcare practices in 2026. Accounts receivable that remain unpaid for more than 90 days significantly reduce collection probability and create long-term cash flow instability. Industry revenue cycle benchmarks continue showing that older claims become increasingly difficult to recover once they move beyond the 90-day window. OBGYN practices face especially high AR pressure because of complex maternity billing workflows, surgical coding requirements, prior authorization rules, and payer-specific reimbursement policies. Even minor documentation or coding errors can trigger denials that remain unresolved for months. Without specialized OB/GYN billing services and advanced medical billing services , many practices experience growing AR balances, declining collections, and hidden revenue leakage. Understanding...
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Understand Payment Rates and Basics of ASC Billing

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Basics of ASC Billing

An Ambulatory Surgical Center (ASC) is defined by CMS as a facility with the sole purpose of providing outpatient surgical services to patients. ASC is a facility that, very simply, specializes in outpatient procedures. Procedures done at an ASC are more extensive than those done at the typical provider’s office but are not so involved that they require a hospital stay. The basics of ASC billing (Ambulatory Surgery Center) are completely different than any other type of billing. For ASC services to be paid, the service must be determined to be medically necessary. Generally, there are two primary elements in the total cost of performing a surgical procedure:

  • The cost of the physician’s professional services for performing the procedure
  • The cost of services furnished by the facility where the procedure is performed (for example, surgical supplies and equipment, and nursing services).

In general, the Medicare program pays ASCs 80 percent of the lesser of the actual charge or the ASC facility payment rate for the covered services performed. The beneficiary pays 20 percent of the lesser of the submitted charge or the ASC facility payment rate for the covered services performed. Payment rates for most services are geographically adjusted using the pre-reclassification wage index values that CMS uses to pay non-acute providers. The adjustment for geographic wage variation will be made based on a 50 percent labor-related share.

Ambulatory surgical center claims are filed to Medicare, Medicare Advantage Plans, and Medicaid on an HCFA 1500 or the 837P. This is different from hospital outpatient surgery claims to the payers, which are filed on the UB-04 or the 837I. The CMS-1500 is the red-ink on white paper standard claim form used by physicians and suppliers for claim billing.

To know more about the Payment Rates and Basics of ASC Billing click here: http://bit.ly/3y8auny Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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