Should OBGYN Practices Outsource Annual GYN Exam Billing?

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Annual GYN Exams are one of the most common preventive services provided by OBGYN practices. While these visits are essential for women's preventive healthcare, billing them correctly has become increasingly challenging. Changing payer guidelines, preventive service coverage rules, coding requirements, and documentation standards have made reimbursement more complex than ever. Many practices struggle with denied claims, underpayments, delayed reimbursements, and growing accounts receivable because preventive visits often involve multiple billable services and payer-specific rules. As these challenges continue to grow in 2026, many providers are asking an important question: Should OBGYN practices outsource Annual GYN Exam billing? For many practices, outsourcing OBGYN billing services provides access to experienced billing professionals who can improve coding accuracy, strengthen Revenue Integrity , reduce denials, and optimize revenue cycle performance. Why Annual GYN Exam Billin...
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Billing Myths Every Podiatrist Should Know About Podiatry Billing

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Every successful doctor needs to know the crucial insights that go into podiatry billing to make it profiteering. With the view of recent regulation changes, your podiatry billing will need to understand the need for a modifier that acts as a myth.

Here are Some Common Podiatry Billing Myths Busted for your Reference:

Myth I: Modifier 24 is applicable to all services performed in the post-op period

Reality – Modifier 24 is used in addition to an appropriate E/M code, in cases when the Evaluation & Management service takes place during a post-operative global period for reasons not related to the original procedure. We can say that this modifier indicates that the surgeon is treating the patient for a new problem altogether. This modifier is only for use during the postoperative period (10 or 90 days). This is because according to rules you cannot bill separately for evaluation & management-related services pertaining to the original surgery during the global period as the surgical package include routine postoperative care during this period.

Myth II – Scheduled office visit means no modifier-24

Reality –  It is wrong to think that you must not bill separate services using modifier-24 due to the fact that a patient was scheduled to visit related to the surgery. Take note that the care directed at the underlying disease process is billable separately in the global period.

Myth III – You have to bill everyone the same amount

Reality- As a rule, you can’t bill your Medicare patients more than you do all your other patients. If in case your practice maintains several fee schedules, the government payers should be the lowest-priced among the group. However, when you follow a contract or have a consistent non-discriminatory billing policy in place, billing may vary within your practice. It is best to keep your podiatry billing guidelines consistent to avoid accusations of discrimination.

To know more about Billing Myths Every Podiatrist Should Know About Podiatry Billing, click here: https://bit.ly/3oqWZ0o Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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