Remove Compliance Remove Governance Remove Medical Billing Outsourcing Remove Medicare
article thumbnail

Strategies for Ensuring Radiology Billing Compliance

Medisys Compliance

Introduction Radiology billing compliance is a critical aspect of managing a successful radiology practice. With a myriad of regulations and the potential for audits looming, radiologists and billing staff need to have a solid understanding of compliance requirements.

article thumbnail

Navigating Payer Audits and Reimbursement Challenges in Cardiology Billing

Medisys Compliance

Understanding the Landscape of Cardiology Billing Cardiology billing encompasses a wide range of services, including diagnostic testing, interventional procedures, and ongoing patient care.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Top Compliance Issues In 2023: What You Can Do

Medisys Compliance

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. Let us discuss the top compliance issues in the medical billing industry, shall we? companies operating internationally.

article thumbnail

Understanding Basics of Medicare Overpayment

Medisys Compliance

What is Medicare Overpayment? Identified overpayments are debts owed to the federal government. A Medicare overpayment exceeds regulation and statute properly payable amounts. When Medicare identifies an overpayment, the amount becomes a debt a healthcare provider owes the federal government.

article thumbnail

Diabetes Education Billing Guidelines for Medicare

Medisys Compliance

Medicare recognizes the importance of diabetes self-management training and offers coverage for eligible beneficiaries. However, there are specific guidelines and conditions that need to be met for Medicare billing. Diabetes Education Billing Guidelines for Medicare Who May Furnish the Training?

article thumbnail

Wrongly Denied Claims by Private Medicare Plans

Medisys Compliance

Recently published watchdog report found that private Medicare plans routinely rejected claims that should have been paid and denied services that reviewers found to be medically necessary. For detailed understanding we shared observations of OIG where they found that some of the claims were wrongly denied by private Medicare plans.

article thumbnail

Basics of Medicare Administrative Contractor (MAC)

Medisys Compliance

What’s a Medicare Administrative Contractor (MAC)? Its quite common for any provider to get confused while billing to Medicare for healthcare services, as they not billing to Medicare but to a MAC. million health care providers who are enrolled in the Medicare FFS program. Activities done by MACs.