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

Image
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...

Outsourcing Physician Credentialing to MBC

 

outsourcingphysiciancredentialingtombc.jpg

As a practice owner, you might have a team of professional physicians who possess the right qualification and licenses but without properly credentialed providers you invite the risk of losing payments. To enhance the performance of your practice you must complete the entire credentialing process including collecting provider documentation & validation; identifying top payers; applying for top payers; follow-up on the application; obtaining enrollment, and periodic updates of payer documents for credentialing. If you lack the know-how to navigate the physician credentialing process, you need to outsource provider credentialing and enrollment services to professionals like us.

Our Provider Credentialing Services 

Our credentialing experts deeply understand payer enrollment guidelines and credentialing policies. Based on your geographical area of practice and patient mix, we identify top payers who need to get credentialed. Whether you own a group practice or are a solo provider, we have a customized credentialing service. For a single-payer, our physician credentialing services include the following:

  • CAQH attestation includes CAQH application filing; and CAQH quarterly attestations. In case you don’t have a CAQH account created, we will ask for all required information and documentation and will create a CAQH account. We will also enable it for payer review in case of credentialing and enrollment process.  
  • Filling up applications for all top payers. It will include completing the required documentation and identifying exceptions. Verifying practitioner/ facility information from physicians and obtaining missing documents and updating the payer’s database.
  • Enrollment for electronic transactions. Our team will enroll providers for electronic transactions like Electronic Data Interchange (EDI), Electronic Remittance Advice (ERA), and Electronic Fund Transfer (EFT).
  • Provider data maintenance includes provider demographic updates in payers’ records i.e., updates of the provider’s specialty or additional educational qualifications, checking the payer website and verifying provider details like Phone and Fax #, Zip code, updating the correction to payers, and tracking expiry date for State DEA License, Board certificate, and Malpractice Insurance. 
  • Contracting includes new group/individual practitioner contracts, adding/deleting providers in the existing contract, and rate negotiations.

To know more about Outsourcing Physician Credentialing to MBC, click here: https://bit.ly/44ihrQu Contact us at info@medicalbillersandcoders.com888-357-3226.

Comments

Popular posts from this blog

Is Your Neurology Billing Outsourcing Helping or Hurting You at Year-End?

How Hidden OB-GYN Billing Errors Are Quietly Costing You Millions Each Year

The #1 Reason ASCs Lose Revenue from Medicare Claims (And How to Fix It)