Medisys Compliance

JUNE 24, 2022

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. Contractor: Wisconsin Physicians Service Government Health Administrators.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

MAY 10, 2023

However, in recent years, the issue of balance billing has become a major concern for both patients and providers. In response to this issue, the Virginia state government has introduced balance billing protection laws to safeguard patients from unexpected medical bills.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Compliance Medical Billing Services 52

AIHC

JUNE 6, 2023

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.

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

AIHC

JUNE 6, 2023

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.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Medisys Compliance

MAY 19, 2022

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.

COVID-19 52

COVID-19 Medicare Medicare Medical Billing 52

Medisys Compliance

MARCH 14, 2023

In this article, we shared wound care reimbursements in certain healthcare facilities. Medicare reimbursement for wound care in SNFs is governed by the Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS). Patients who are able to receive wound care at home may receive treatment from home health agencies.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

Medisys Compliance

MARCH 31, 2023

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. License or certification: You may need to provide proof that you are licensed or certified to practice in your field, such as a copy of your nursing license or medical degree.

Medicaid 52

Medicaid Medicaid Licensing Medical Billing Outsourcing 52

Health Populi

APRIL 12, 2024

Plainly put, we have 20 th Century laws governing 21 st century health care delivery. This, to assure the physician that he would not be tracked by the sort of FBI state licensing compact concerns described in the linked article above. S 2016) and second, re-introduce and sign the Telehealth Modernization Act.

Doctors 83

Doctors Licensing Hospitals Governance 83

Medisys Compliance

JUNE 10, 2022

In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT). Procedure codes 98940; 98941; and 98942 Chiropractic manipulative treatment: Spinal; 1-2/3-4; 5 regions) are used to bill chiropractic manipulative treatment. American Medical Association. Medicare Coverage.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

OCTOBER 23, 2023

Family practice billing is an essential component of healthcare administration, crucial for ensuring that medical providers are reimbursed accurately and timely for the services they render to their patients.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Regulatory Compliance Compliance 59

Medisys Compliance

JULY 18, 2022

We hope this article would have cleared all the confusion about SNF consolidated billing (CB). For detailed information about SNF consolidated billing (SNFCB) refer to CMS’s SNF Consolidated Billing page. To know more about our SNF billing services, contact us at info@medisysdata.com/ 302-261-9187.

Medical Billing 52

Medical Billing Medicare Medicare Medical Billing Outsourcing 52

Medisys Compliance

OCTOBER 30, 2023

However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge. Mental health credentialing is the process of becoming an approved provider with insurance companies or government health programs. What is Mental Health Credentialing?

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

Med Law Blog

MAY 1, 2023

We saw that issue up close last year as the committee considered the role of PE firms in the increase of patients receiving surprise medical bills.” This “fee obstacle” was what precipitated many of the bankruptcies in the 1990s physician practice management ventures, as mentioned in my prior article.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

Medisys Compliance

APRIL 11, 2022

Billing for Ambulatory Surgery Centers (ASCs) is tightly regulated by numerous federal as well as state-level regulatory authorities. Complete documentation will support all procedure codes your billed and will provide complete picture for payers. Post-operative orders for drugs and biologicals. Reference: [link].

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Informed Consent Nurses 52

Medisys Compliance

MARCH 27, 2023

These terminologies are briefly discussed below for better understanding: Provider enrollment: This refers to the process of enrolling a healthcare provider with an insurance plan or government program, such as Medicare or Medicaid. Hope this article has answered the question ‘what is provider credentialing in healthcare?’

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

Health Populi

AUGUST 2, 2021

The article discusses the promises and problems with a growing supply of new companies targeting the patient billing, payment, and revenue-cycle management space, most of which are painted with the brush of improving “patient experience.”

Doctors 133

Doctors COVID-19 Health Insurance ACA 133

Healthcare IT Today

JUNE 29, 2023

The following is a guest article by Isaac Smith, Billing, Coding, and Reimbursement Specialist at Medcare MSO ASCs are types of medical facilities that are subject to stringent regulations. Compliance Requirements for ASC Billing ASCs can face serious penalties for not complying with regulatory changes.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

YouCompli

OCTOBER 17, 2023

An ear, nose and throat medical practice in Texas settled similar allegations by agreeing to pay $750,000. The government alleged that the provider knowingly caused false claims to be submitted by billing for E&M services at a higher rate of reimbursement than they were entitled to.

COVID-19 52

COVID-19 Compliance Fraud Doctors 52

Healthcare IT Today

NOVEMBER 19, 2022

Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. eClinicalWorks, the Cloud, and Medical Practice Expansion. Read more… Reducing Confusion Eases Medical Billing Stress. Welcome to our Healthcare IT Today Weekly Roundup.

ACA 103

ACA Medical Billing Hospitals HIPAA 103

Medisys Compliance

APRIL 25, 2023

Need of Choosing Oncology Billing Company As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. This article will discuss key factors in choosing oncology billing company.

Regulatory Compliance 52

Regulatory Compliance Compliance ACA Medical Billing Outsourcing 52

AIHC

MARCH 2, 2023

The article which was published on AIHC which I reviewed brought in a couple of new perspectives to tools that I could implement. The article focusing on Resilient Leader talks about what traits are required being in a leadership role. These comments are a growth in process in which I added other tools in my own development.

Compliance Officers 52

Compliance Officers Compliance Fraud Medical Billing 52

Medisys Compliance

JULY 13, 2023

However, there are specific guidelines and conditions that need to be met for Medicare billing. In this article, we will explore the diabetes education billing guidelines for Medicare, including who may furnish the training, conditions of coverage, and the types and frequency of activity covered by Medicare.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Health Outcomes 52

AIHC

NOVEMBER 3, 2021

How would you feel if you knew your doctor shared his/her password to your personal medical records with an unauthorized user? What if someone in medical billing shared his/her password to your account (containing your medical and financial identity) with someone not authorized to access your information?

HIPAA 52

HIPAA Compliance Electronic Medical Records Governance 52

Hall Render

OCTOBER 6, 2023

The federal government plans to define “zero-emissions building” for the real estate industry. The Biden administration announced a new initiative that would prohibit unpaid medical bills from affecting American’s credit scores. Government officials originally estimated the cost of compliance at $4B.

Nursing Homes 40

Nursing Homes Governance Nurses Medical Billing 40

Medisys Compliance

OCTOBER 8, 2023

However, the financial aspect of providing these services can be complex, especially when it comes to depression billing. This article aims to provide a detailed and technical overview of depression billing for mental health providers to ensure proper reimbursement and adherence to regulatory guidelines.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Healthcare IT Today

SEPTEMBER 19, 2023

I would continue to advance CMS’ directive that by 2030 all Medicare and the bulk of Medicaid beneficiaries be in care engagements governed under a value-based contract. Let us know either in the comments down below or through sharing this article on social media! What current regulations do you think need to be removed or updated?

Hospitals 136

Hospitals HIPAA Nurses Governance 136

Health Populi

MARCH 13, 2019

In full disclosure, last year when this issue was being curated, I was part of a team that proposed to submit an article for the publication, but our submission was not accepted]. In the article to which this assertion ties , Harris Meyer talks about the growing push for price regulation in the U.S.

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ACA Health Insurance Bioethics Prescription Drug Pricing 102