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. […]

Well Woman Exam ICD-10 Codes: Complete Guide for Accurate Billing

The well woman exam is one of the most commonly billed preventive services in OBGYN and primary care practices, yet it remains one of the most frequently miscoded encounters in outpatient settings — making correct ICD-10 selection the single most important factor protecting your preventive visit revenue per billing cycle. Selecting the correct well woman […]

Best OBGYN Billing Companies 2026: Compared for Obstetrics and Gynecology Practices

OBGYN billing is not general medical billing performed on reproductive health claims. It is a distinct revenue cycle discipline built on the dual-track reimbursement model — global obstetric packages and fee-for-service gynecologic procedure billing — governed by payer-specific maternity benefit structures, trimester-based antepartum visit counting rules, and modifier-dependent surgical coding logic that differs fundamentally from […]

Why Is OBGYN AR Aging Beyond 90 Days? The 2026 Causes and How to Recover It

OBGYN AR aging beyond 90 days is driven by four compounding causes specific to obstetrics and gynecology billing: global period miscoding generating systematic denials, prior authorization failures on advanced gynecologic procedures, Medicaid maternity bundling disputes, and payer-specific timely filing mismatches on split-episode claims. According to MBC’s 2026 RCM services analysis across 140 OBGYN practices, the […]

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