Why OBGYN Denial Management Needs Executive Attention in 2026

OBGYN denial management needs executive attention in 2026 because global maternity bundling errors, modifier 25 disputes on same-day preventive visits, and missed gynecologic add-on codes have moved from routine billing friction into a recurring drag on practice-level EBITDA that billing staff alone cannot resolve. What Is OBGYN Denial Management? OBGYN denial management is the structured […]

What Did OBGYN Underpayments Cost Your Group in the First Half of 2026?

For most multi-provider OBGYN groups collecting $1 million or more per month, OBGYN underpayments cost between 2 and 4 percent of collected revenue across the first half of 2026, and almost none of it shows up on a standard denial report. Underpayments are not denials. They are claims paid, posted, and closed out below the […]

Is Legacy AR Hiding Six Figures in Recoverable OBGYN Revenue?

Yes — for most multi-provider OBGYN groups, claims sitting in accounts receivable past 120 days routinely contain six figures in recoverable OBGYN revenue, often tied to global maternity billing errors, IUD and Nexplanon supply codes, and timely filing gaps that never got worked before write-off. What Counts as “Legacy” AR in an OBGYN Practice Legacy […]

Your OBGYN Net Collection Rate Dropped—But Patient Volume Didn’t. Here’s Why

If your OBGYN practice’s Net Collection Rate is falling while your visit count and delivery volume stay flat, the problem isn’t demand. It’s what’s happening to the revenue between the encounter and the deposit, and that gap almost never shows up until someone looks specifically for it. Practice leaders often check the wrong number first. […]

Is Your OBGYN Billing Company Ready for CPT 2027?

No, most OBGYN billing companies are not yet ready for CPT 2027, because the January 1, 2027 shift from global obstetric codes to phase-based reporting demands new documentation habits, new claim logic, and new revenue cycle infrastructure that few vendors have actually built. Key Takeaways CPT 2027 deletes 17 global obstetric codes and replaces them […]

Is Your OBGYN Billing Company Protecting Your Global Maternity Revenue?

No — not if it cannot answer five specific operational questions about how it handles antepartum transfer of care documentation, co-management modifier workflows, VBAC conversion narratives, payer variance detection on global maternity claims, and the appeal window triage protocol it applies when a global maternity denial lands in your AR. Those five operational capabilities are […]

15 Must-Ask Questions Before Choosing an OBGYN EHR in 2026

Choosing the right OBGYN EHR in 2026 comes down to one test most practices skip: does the system understand obstetric global packages, high-risk maternal coding, and L&D interoperability, or was it built for general primary care and adapted after the fact? A generic EHR can chart a visit. An OBGYN-ready EHR protects the reimbursement behind […]

Why Are OBGYN Global Package Denials Increasing in 2026?

OB-GYN global package denials are increasing in 2026 because Medicare Advantage plans are applying algorithmic claim review to maternity codes at rates 37% higher than 2022 — and the documentation standard that cleared payer review last year is no longer sufficient to protect antepartum, delivery, and postpartum revenue in the same billing cycle. The financial […]

Are Global Maternity Code Denials Climbing Despite the 2026 RVU Exemption?

Yes — global maternity code denials are climbing in 2026 despite the CMS RVU exemption, because the fee schedule protection preserves the allowable rate but does nothing to prevent payer-level claim edits targeting antepartum visit documentation, co-management modifier usage, and VBAC medical necessity narratives. The 2026 CMS Physician Fee Schedule preserved OBGYN global maternity codes […]

Well Woman Exam CPT Codes 2026: Complete Guide for OBGYN Billing (With Pap & Without)

The correct well woman exam CPT codes 2026 depend on patient age, whether a Pap smear is collected, and payer type. Established patients aged 18–39 bill CPT 99385/99395 (new/established); Pap collection adds G0123 or G0101 for Medicare. Mixing preventive and problem-focused E/M in the same encounter requires Modifier 25 and precise documentation to avoid denial. […]

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