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Showing posts with the label Neurology Claims

How OBGYN Practices Can Prepare for the 2027 Maternity Billing Changes

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The 2027 maternity billing changes will significantly alter how OBGYN practices report maternity care. Beginning January 1, 2027 , the CPT maternity care structure will move away from the traditional global model toward more detailed reporting across four phases: antepartum care, labor management, delivery, and postpartum care . The American Medical Association (AMA) has confirmed that 17 existing codes will be deleted, 12 new codes will be added, and six codes will be revised. For OBGYN practices, this is not simply a coding update. It can affect documentation, EHR workflows, charge capture, claims submission, payer contracts, reimbursement, AR, and denial management. Practices that begin preparing now will have more time to test their systems, train staff, review payer requirements, and identify potential revenue risks. For a broader explanation of the upcoming changes, see What Is the 2027 Maternity Billing Change and How Should OBGYN Practices Prepare? . Understand What Is Chan...
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Are Old Neurology Claims Becoming Write-Offs? How to Identify the Tipping Point Before It Costs You

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Yes — aging neurology claims often turn into write-offs when practices miss the operational tipping point where recovery probability drops, and payer deadlines expire. Once claims cross certain aging thresholds, reimbursement chances decline sharply, increasing bad debt and revenue leakage. Neurology practices manage complex care, chronic conditions, and high-value procedures. That complexity creates billing layers that slow claim resolution. When follow-up workflows lag, old claims quietly shift from collectible revenue to financial loss. Why Neurology Claims Age Faster Than Expected Neurology billing involves multiple risk factors: Complex diagnostic coding Prior authorization dependencies Multi-visit treatment plans High documentation requirements Payer-specific medical necessity rules These variables increase processing time. Without structured tracking, claims age beyond safe recovery windows. The Financial Tipping Point Most Practices Miss A claim doesn’t be...
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