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Showing posts with the label Global Maternity Bundle

Is Your OBGYN Practice Sitting on Six Figures of Recoverable Legacy AR?

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A healthy patient schedule does not always mean a healthy revenue cycle. For many OBGYN practices, the real financial opportunity may already be sitting inside the accounts receivable (AR) report. Claims that are 90, 120, or even 180+ days old are often treated as difficult or uncollectible. But some of that legacy AR may still be recoverable with the right strategy. For a high-volume OBGYN practice, recovering even a portion of old receivables can mean hundreds of thousands of dollars in additional cash flow. What Is Legacy AR? Legacy AR refers to outstanding balances that have remained unpaid for an extended period. These balances can come from denied claims, underpayments, unresolved payer disputes, coding issues, missing documentation, authorization problems, or claims that were never properly followed up. Over time, old AR becomes harder to collect. Timely filing deadlines can expire, documentation may become difficult to locate, and payer records may require additional research. ...
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How Can Providers Bill Outside the Global Maternity Bundle Without Triggering Denials?

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Providers can bill outside the global maternity bundle without triggering denials by correctly identifying non-global services, using accurate documentation, and applying proper coding and modifiers. OB/GYN billing is highly regulated, and incorrect handling of services outside the global package often results in denied or delayed claims. Understanding what qualifies as billable outside the bundle is essential for protecting revenue. What Is Included in the Global Maternity Bundle? The global maternity bundle typically includes routine antepartum care, delivery services, and postpartum care within a defined period. Services generally included are: Routine prenatal visits Vaginal or cesarean delivery Postpartum visits within the global period Billing any included service separately can lead to claim denials . Which Services Can Be Billed Outside the Global Maternity Bundle? Certain services are not included in the global maternity bundle and may be billed separate...
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Location: United States
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