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What Is Medical Billing Compliance?

Compliancy Group

One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. It pays to know the law and avoid temptations to cut corners.

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The Role of Artificial Intelligence in Revolutionizing Medical Billing Services for Physicians

AIHC

Written by: Rana Awais Coding, Billing, IT Expert In today's rapidly advancing healthcare landscape, medical billing has become a critical aspect of running a successful medical practice. Efficient and accurate billing processes are essential for healthcare providers to receive timely payments for their services.

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Factors to consider when outsourcing Behavioral Health medical billing

Medisys Compliance

If you’ve ever questioned about outsourcing your medical billing, this article will go through all the benefits it offers you in terms of operations, and all the reasons to outsource medical billing. Now, let’s consider the factors to consider when outsourcing Behavioral Health medical billing: 1.

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Part 1: Basics of Artificial Intelligence (AI) and Healthcare Compliance

AIHC

According to Investopedia’s article “ Understanding Machine Learning: Uses, Example ,” machine learning is the concept that a computer program can learn and adapt to new data without human intervention and is a field of artificial intelligence that keeps a computer’s built-in algorithms current regardless of changes in the worldwide economy.

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Part 1: Basics of Artificial Intelligence (AI) and Healthcare Compliance

AIHC

According to Investopedia’s article “ Understanding Machine Learning: Uses, Example ,” machine learning is the concept that a computer program can learn and adapt to new data without human intervention and is a field of artificial intelligence that keeps a computer’s built-in algorithms current regardless of changes in the worldwide economy.

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Navigating CMS UPIC Audits: A Guide for Healthcare Organizations

Compliancy Group

CMS UPIC audits are designed to identify and prevent fraud, waste, and abuse within Medicare and Medicaid, ensuring that federal funds are used appropriately and that the services billed for are actually provided and are medically necessary. Who Should Be Concerned About CMS UPIC Audits?

Fraud 52
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Navigating the Complex World of Emergency Medical Specialists Billing

Medisys Compliance

Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. Detailed medical records provide the necessary support for justifying the level of care and ensuring appropriate reimbursement.