Texas OB-GYN Billing: Recover Medicaid Managed Care Underpayments Before the Filing Deadline

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OB-GYN practices in Texas are losing significant revenue due to Medicaid managed care underpayments that go uncorrected before filing deadlines expire. These underpayments often remain hidden within high claim volumes, and without proactive follow-up, they turn into permanent revenue loss. Texas has one of the largest Medicaid populations in the country, with multiple managed care organizations (MCOs) administering benefits. While this expands patient access, it also introduces complexity in reimbursement. Each payer applies different fee schedules, edits, and payment rules, making it difficult to track whether claims are paid accurately. This is why many providers rely on specialized OB-GYN billing services and medical billing services in Texas to identify and recover lost revenue. Why Medicaid Managed Care Underpayments Occur Underpayments typically happen when payer systems apply incorrect fee schedules, misinterpret coding, or bundle services that should be reimbursed separa...
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Prominent Ambulatory Surgery Center Medical Billing Functions are Affecting Your Practice Revenue

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Compliance guidelines that govern the Ambulatory Surgery Center’s reimbursement are wide-ranging, complex, and ever-changing. Hence, it’s important for ASCs to hire or partner with Ambulatory Surgery Center medical billing and coding management consultants who understand the legal rules placed on ASCs, including specialized coding, accreditation, documentation, and reimbursement care contracts.

Here are Prominent Ambulatory Surgery Center Medical Billing Functions are Affecting Your Practice Revenue

The Rise in the Number of Accounts Receivable (AR) Days

AR basically refers to the average number of days that an ASC takes to collect payments for the services provided. Days in AR are one of the main methods that ASCs use to measure their financial performance. The factors impacting the AR days are procedure scheduling, patient pre-registration, insurance verification, patient financial counseling, patient payment plans, and patient collections. An important tip here would be setting up a patient financing solution that pays within just a few days of the service provided which can reduce days in A/R.

Surgery Cancellations

Surgery cancellations have always been a major cause of concern for ASCs. Facing high out-of-pocket costs for a certain surgery, many patients whose surgery is canceled, may not rearrange as they think that would incur more expense. Same-day cancellations of a scheduled surgery have a tangible, negative impact on your facility’s bottom line. Another suggested strategy is implementing patient financing options. Providing a secured loan to patients to cover their surgical costs can reduce cancellations, grow surgery numbers, lower AR days, and increase cash flow.

To know more about the Prominent Ambulatory Surgery Center Medical Billing Functions are Affecting Your Practice Revenue, click here: https://bit.ly/3Uksqpn Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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