OB-GYN Billing Mistakes That Trigger Audits — and Quietly Cost Practices $8K–$25K Per Quarter

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  The Part No One Warns You About Your OB-GYN claims are getting paid. Your revenue looks stable. Your billing team says things are “fine.” That doesn’t mean your practice is safe. Most OB-GYN audits don’t start with denials, warnings, or red flags you can see. They start silently , months after payers have already paid your claims—when the money has been spent, the charts are archived, and staff turnover has already happened. By the time the recoupment letter arrives, the damage is already done. The Reality Most Practices Learn Too Late Payers don’t audit claims they deny. They audit claims they’ve already paid . For OB-GYN practices, audits typically occur 6 to 18 months after payment . That timing is intentional. It gives payers leverage—because now you’re being asked to return money that’s already been allocated to payroll, rent, malpractice premiums, and growth. This isn’t a reflection of bad intent or sloppy practices. It’s how the system is designed. And OB-GYN...
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How can Physicians Improve AR Days?

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For you to improve the accounts receivable (AR) of your practice there are many different factors that come into consideration. Your quality of patient care is one such important factor that will contribute to attracting more patients. To improve the patient care for your practice things need to be systemized; we have to sync the work of an admin along with other patient-care factors. Healthcare providers lose millions of dollars each year due to inefficiencies in their accounts receivable (AR). Learn how to improve your AR days here.

One of the easiest ways to achieve the complex goal setting of practice is to have a defined target and nothing can be better than an Account Receivable (AR) of a practice.

A physician might say that yes I am seeing many patients but still my AR is low; one thing we ignore is the need for constant cash flow and collecting timely AR.

Physicians often come out on a short end especially when they are dealing with bigger insurance companies. Dealing with them requires a long length of time and skill.

Here are Certain Factors that would affect the Account receivable Days of Physicians:

Aging of Claims:

The first step that makes your AR clean is to determine the current status of payment for all of the AR. Create an AR aging report that will track your payment status. This will track or measure the number of AR days after the claim is submitted 0-30 days, 31-60 days, and 61-90 days. This can help you with tracking different potential collection problems and focus on the payment collection efficiently.

Claim submission:

When submitting the claim it’s important that the claim is clean and complete with no missing information. While submitting a claim you should always look for small-denial points that cause the insurance to deny the claims.  The silent nuances your claims generate will affect the payment procedure.  For claim submission, you need proper channels that make it easy from the documentation, Charge entry, claim submission, and AR.

AR strategy:

AR strategy is one factor that will make your cash flow successive and channelized. At this point, you would need a team of callers, or better to say a team of AR callers come into the picture with a friendly reminder call to insurance companies about the AR due date. Your AR strategy should also include keeping all your AR days below the threshold level of 90 days. This will help you maintain the status that all claims above 90 days will be put under daily check status.

To learn more about How can Physicians Improve AR Days?, click here: https://bit.ly/48eC03D, Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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