Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. This article serves as a guide to help you avoid billing mistakes for Medicare and ensure smooth claims processing for your Medicare patients. Common Billing Mistakes 1.

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Electronic Health Reporter

JUNE 16, 2021

This article is copyrighted strictly for Electronic Health Reporter. The article Vyne Medical Launches Refyne, a SaaS Platform To Facilitate Electronic Submission of Medicare Audit Responses appeared first on electronichealthreporter.com. Illegal copying is prohibited.

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Electronic Health Reporter

FEBRUARY 2, 2022

This article is copyrighted strictly for Electronic Health Reporter. Medicare is a lifeline for millions of Americans, ensuring that they have access to all sorts of treatments, as well as things like prescription drugs and vital supplies to keep them healthy and happy. The article Does Medicare Pay For Routine Vision Care?

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Electronic Health Reporter

OCTOBER 22, 2020

This article is copyrighted strictly for Electronic Health Reporter. Medicare supplements in Florida are available from a wide list of providers. But how do you choose the best Medicare plan? Medicare Decisions Anyone who is interested in signing up for Medicare has many decisions […].

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Electronic Health Reporter

FEBRUARY 25, 2021

This article is copyrighted strictly for Electronic Health Reporter. Getting the best insurance for Medicare will require in-depth research to obtain a better idea of the best options available. The article What Is The Best Insurance To Get With Medicare? The article What Is The Best Insurance To Get With Medicare?

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Medicare Medicare 103

Hall Render

MARCH 8, 2024

On January 30, 2024, the Centers for Medicare and Medicaid Services (“CMS”) issued a Request For Information (“RFI”) seeking input from interested parties regarding Medicare Advantage (“MA”) data. Hall Render blog posts and articles are intended for informational purposes only.

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Electronic Health Reporter

OCTOBER 16, 2020

This article is copyrighted strictly for Electronic Health Reporter. The COVID-19 pandemic likely has Medicare members thinking ahead when it comes to their insurance plan and questioning whether they would be covered if they contract […]. Illegal copying is prohibited.

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COVID-19 Medicare Medicare 91

Electronic Health Reporter

MARCH 4, 2019

Roberts, a Medicare insurance expert and co-founder, Boomer Benefits. The article How Does Medicare Cover Telemedicine? This content is copyrighted strictly for Electronic Health Reporter. By Danielle K. It saves money on travel and improves efficiency in healthcare as well. While telehealth options […].

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Telemedicine Medicare Medicare 115

Electronic Health Reporter

OCTOBER 19, 2022

This article is copyrighted strictly for Electronic Health Reporter. The article The Inflation Reduction Act: The Impact of Medicare Negotiation of Prescription Drug Prices on Hospitals and Health Systems appeared first on electronichealthreporter.com. Illegal copying is prohibited. In August, H.R.

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MRO Compliance

SEPTEMBER 19, 2023

The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage Risk Adjustment Data Validation (RADV) audit season peaks from March through April every year. View Full Article  Health information (HI) professionals nationwide anticipate a looming tsunami of payer requests for medical records.

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Health Law RX

FEBRUARY 21, 2024

The Centers for Medicare & Medicaid Services (CMS) has revised certain payment policies under the Medicare physician fee schedule, and updated provider and supplier enrollment regulations. Summary of Major Updates The below outlined changes are described in more detail in this article.

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YouCompli

AUGUST 22, 2023

Approximately 65 million Americans are enrolled in Medicare – about 34 million in traditional Medicare and the rest in Medicare Advantage. Traditional Medicare is administered by the federal government, and individuals pay a separate monthly premium for hospital visits, doctors/outpatient, and prescription drugs.

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Med Law Blog

NOVEMBER 6, 2023

CMS issued the Final Rule for the 2024 Medicare Physician Fee Schedule (PFS) on November 2, 2023, for payments to be effective on or after January 1, 2024. Fee Schedule Link The overall payment rates under the PFS will be reduced by 1.25% in calendar year 2024. The final PFS conversion factor will be $32.74, which is a decrease of 1.15

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Hall Render

NOVEMBER 17, 2023

The Centers for Medicare and Medicaid Services (“CMS”) Medicare Advantage final rule for 2024 (“Final Rule”) clarified that Medicare Advantage plans must adhere to the “two-midnight rule” when making coverage determinations for inpatient services. 1395w-22(a) ). d)(2) ).

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Hall Render

NOVEMBER 29, 2023

On November 2, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued the 2024 Medicare Physician Fee Schedule Final Rule (“Final Rule”) for calendar year (“CY”) 2024. Standards for benchmarking and data completeness for the Medicare CQM collection type will mirror the MIPS benchmarking and scoring policies.

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Med Law Blog

FEBRUARY 8, 2024

Penn State Health has agreed to pay $11,712,336 to settle allegations of civil liability from submitting improper claims to Medicare for Annual Wellness Visit services.

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Innovaare Compliance

DECEMBER 11, 2023

Before the Medicare Advantage Open Enrollment Period (MA OEP) [1] begins on January 1, 2024, Medicare Advantage Organizations (MAOs) still have time to review if they are completely ready for a new contract year. This blog article focuses on some of the “must make” changes to take effect as of January 1, 2024, or before.

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Medisys Compliance

JUNE 16, 2023

G0108 is a Medicare code used for the initial preventive physical examination, also known as the IPPE or “Welcome to Medicare” visit. In this article, we will explore the guidelines surrounding how often G0108 can be billed.

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Medisys Compliance

JULY 13, 2023

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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Hall Render

MARCH 21, 2024

The Centers for Medicare & Medicaid Services (“CMS”) recently announced the ACO Primary Care Flex Model (“Flex Model”), a new voluntary model within MSSP for low-revenue ACOs, that begins January 1, 2025.

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Medisys Compliance

JUNE 24, 2022

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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Electronic Health Reporter

APRIL 8, 2019

This article is copyrighted strictly for Electronic Health Reporter. The article Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule appeared first on electronichealthreporter.com. Illegal copying is prohibited. CMS took significant action to increase MA plan choices for the […].

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Hall Render

JULY 28, 2023

Starting on August 1, 2023, Medicare validation edits will be activated to require service location addresses on the UB-04 hospital claim form to match exactly with the service location enrolled in Medicare’s Provider Enrollment, Chain, and Ownership System (“PECOS”).

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Medisys Compliance

FEBRUARY 20, 2023

Healthcare providers often get confused about the appropriate use of modifiers GA, GX, GY, and GZ while billing Medicare. GA modifier indicates that an Advance Beneficiary Notice (ABN) is on file and allows the provider to bill the patient if not covered by Medicare. Medicare does not pay for all health care costs.

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Electronic Health Reporter

MARCH 10, 2020

This article is copyrighted strictly for Electronic Health Reporter. The Centers for Medicare & Medicaid Services (CMS) issued a fact sheet with additional guidance for healthcare providers and patients about the telehealth benefits in the agency’s Medicare program. Illegal copying is prohibited.

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Medisys Compliance

AUGUST 1, 2022

Medicare enrollment is the first step towards becoming Medicare provider or supplier. CMS has shared complete process flow chart for successful Medicare enrollment. Being leading medical billing company, Medisys Data Solutions helped lots for providers and suppliers in successful Medicare enrollment.

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Med Law Blog

JULY 17, 2023

The 2024 Medicare Physician Fee Schedule proposes a 3.34% decrease in the 2024 PFS conversion factor. It’s currently $33.89 and is proposed to be reduced to $32.75.

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Hall Render

DECEMBER 12, 2023

On November 16, 2023, the Centers for Medicare & Medicaid Services (“CMS”) published proposed changes to the Medicare provider enrollment requirements in the Calendar Year 2024 Physician Fee Schedule final rule (“Final Rule”).

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Electronic Health Reporter

MAY 8, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article Medicaid, Medicare and Telehealth: What the Pandemic Has Taught Us appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Kayla Matthews, freelance journalist, Productivity Bytes.

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Electronic Health Reporter

JANUARY 20, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article The Doctor Won’t See You Now: The Unintended and Perhaps Inevitable Consequences of Medicare-for-All appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Ken Perez, vice president of healthcare policy, Omnicell, Inc.

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Electronic Health Reporter

JUNE 10, 2019

This article is copyrighted strictly for Electronic Health Reporter. The article What Does It Take To Earn Top Medicare Advantage Ratings? Illegal copying is prohibited. By Abhinav Shashank, co-founder and CEO, Innovaccer. In an industry which had primarily been fee-for-service based, healthcare […].

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Medisys Compliance

APRIL 8, 2022

In this article, we briefly discussed these Medicare telehealth billing guidelines. CMS has finalized certain services added to the Medicare telehealth services list will remain on the list through December 31, 2023.This Reference: CY2022 Telehealth Update Medicare Physician Fee Schedule.

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MRO Compliance

JULY 12, 2023

Accurate, properly documented, interoperable patient data is required to achieve CMS’s goal for 100 percent of Medicare (and the majority of Medicaid) beneficiaries to be enrolled in some type of accountable, or value-based, care arrangement by 2030. View Full Article

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Medisys Compliance

MAY 19, 2022

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. In this article, we shared revised Medicare billing and coding guidelines which will help in billing Medicare telehealth during COVID-19 PHE.

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MRO Compliance

MARCH 20, 2023

Three Tech Takeaways from RISE: Health Plans Focus on Engagement, Collaboration and Compliance March 20, 2023 Health IT Answers by Beth Friedman, FINN Partners It has been said that wherever Medicare goes, so do all the rest of the payers. View Full Article

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Electronic Health Reporter

NOVEMBER 28, 2018

The article The Political Plausibility of Medicare for All appeared first on electronichealthreporter.com. As widely reported, based on exit polls, healthcare—not the economy—was the top issue on voters’ minds in the 2018 midterm elections.

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Hall Render

JUNE 8, 2023

On June 7, CMS issued a much-anticipated Final Rule addressing the placement of Medicare Advantage patient days within the Medicare DSH calculation. The Final Rule adopts a retroactive policy that will place Medicare Advantage days in the Medicare Fraction of the DSH calculation for discharges before October 1, 2013.

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