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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. In this article, we discussed about what is MAC and activities handled by all these contractors.

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Navigating Payer Audits and Reimbursement Challenges in Cardiology Billing

Medisys Compliance

Cardiologists and their billing teams often find themselves navigating a maze of regulations while striving to ensure accurate reimbursement for the vital services they provide. This article explores into the details of cardiology billing, offering insights into payer audits and reimbursement challenges in cardiology billing.

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Billing Medicare Telehealth during COVID-19 PHE

Medisys Compliance

The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located.

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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?

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Strategies for Ensuring Radiology Billing Compliance

Medisys Compliance

With a myriad of regulations and the potential for audits looming, radiologists and billing staff need to have a solid understanding of compliance requirements. Understanding Regulatory Framework Radiology billing is governed by a multitude of regulations at the federal, state, and local levels.

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Medicare Coverage for Chiropractic Manipulative Treatment (CMT)

Medisys Compliance

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT).

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Brief about Wound Care Reimbursements in Various Healthcare Settings

Medisys Compliance

In this article, we shared wound care reimbursements in certain healthcare facilities. DRGs are a payment classification system used by Medicare and other insurance providers to categorize patients into groups based on their diagnosis, severity of illness, and the resources required for their care.