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Why Transparency Is No Longer Optional In Medical Billing

Electronic Health Reporter

By Terry Rowinski, president & CEO, Health Payment Systems, Inc. The article Why Transparency Is No Longer Optional In Medical Billing appeared first on electronichealthreporter.com. Nearly half a […].

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The Problem With Surprise Medical Billing

Electronic Health Reporter

By Terry Rowinski, president & CEO, Health Payment Systems, Inc. We’ve seen it time and time again—a patient receives services from an out-of-network provider at an in-network facility and is surprised with a huge medical […]. Illegal copying is prohibited.

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The Impact of MACRA on Cardiology Billing

Medisys Compliance

MACRA replaced the previously used Sustainable Growth Rate (SGR) formula for Medicare physician payments. Advanced Alternative Payment Models (APMs): These models encourage collaboration between providers and offer the potential for higher shared savings if specific quality and cost goals are met.

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What Is the Merit-Based Incentive Payment System (MIPS)?

NCG Medical Blog

If you’re a Medicare provider , then you might want to know about MIPS—a healthcare incentive program that helps gather data of quality and performance outcomes over time while rewarding medical practices that demonstrate improvements. This program utilizes a “score” system comprised of four categories.

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Brief about Wound Care Reimbursements in Various Healthcare Settings

Medisys Compliance

Wound Care Reimbursements in Various Healthcare Settings Inpatient Hospital Wound care in an inpatient hospital setting is reimbursed through the Diagnosis-Related Group (DRG) payment system. The MPFS is a payment system that reimburses healthcare providers for services rendered to Medicare patients in an outpatient setting.

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Direct Billing by MFTs and MHCs: A Comprehensive Guide for Year 2024

Medisys Compliance

However, it’s important to note that MFT and MHC services furnished to residents of skilled nursing facilities (SNFs) remain subject to consolidated billing under the SNF prospective payment system (PPS). We also possess expertise in telehealth billing, a crucial aspect for MFTs and MHCs.

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Optimizing SNF Billing: A Comprehensive Guide with Essential Tips

Medisys Compliance

These steps are vital for optimizing SNF billing. Understand Medicare’s Prospective Payment System (PPS) Medicare Part A reimburses SNFs under a PPS, providing a fixed rate per day based on the resident’s classification. Ancillary charges are only allowed for covered days and are included in the PPS rate.