Medisys Compliance

DECEMBER 1, 2022

Healthcare firms still need to manage a lot of monotonous and continuous administrative responsibilities like medical billing in addition to offering their patients high-quality medical care. Doesn’t that sound like a lot on the plates of the medical settings? Thus, the best resort is to rely on a medical billing company.

Medical Billing 52

Medical Billing Medical Billing Outsourcing US Department of Health and Human Services Doctors 52

Medisys Compliance

MARCH 5, 2024

Understanding the Landscape of Cardiology Billing Cardiology billing encompasses a wide range of services, including diagnostic testing, interventional procedures, and ongoing patient care.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

MedTrainer

JANUARY 26, 2024

Non-compliance in healthcare refers to the failure of healthcare providers, institutions, or individuals to adhere to the laws, regulations, and standards established to protect patient welfare, maintain data security, and ensure the efficient and ethical delivery of healthcare services. What is Healthcare Compliance?

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Compliance Informed Consent HIPAA Medical Billing 52

AIHC

JUNE 6, 2023

However, they are notoriously bad at context and nuance – two things critical for safe and effective patient care, which requires the implementation of medical knowledge, concepts, and principles in real-world settings.” AI can also be used for medical billing denial management to reduce the risk of denied claims and increase revenue.

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Compliance Medical Billing HIPAA Due Diligence 59

MedTrainer

NOVEMBER 2, 2023

This critical responsibility rests on the shoulders of the healthcare compliance officer. Their duties span across several areas, from ensuring adherence to laws to navigating the complexities of medical billing protocols. What Is the Primary Role of a Compliance Officer in Healthcare?

Compliance Officers 52

Compliance Officers Compliance HIPAA Regulatory Compliance 52

AIHC

JUNE 6, 2023

However, they are notoriously bad at context and nuance – two things critical for safe and effective patient care, which requires the implementation of medical knowledge, concepts, and principles in real-world settings.” AI can also be used for medical billing denial management to reduce the risk of denied claims and increase revenue.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

MedTrainer

OCTOBER 16, 2023

Enter the Healthcare Compliance Officer — a role of paramount importance, ensuring that healthcare organizations operate within legal and ethical boundaries. Use this checklist on how to shine in your new compliance role when you’re ready to take the leap and apply or accept a position! What Is a Healthcare Compliance Officer?

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Compliance Officers Compliance Public Health Nurses 52

Healthcare Compliance Blog

APRIL 12, 2022

However, instead of forwarding those taxes to the government, she kept them for her business. Additionally, she did not pay the government the employer’s portion of the FICA taxes, federal unemployment tax, employment tax, or state withholdings, which totaled over $1 million. The withheld taxes totaled over $900,000.

Medical Billing 59

Medical Billing Fraud Governance Medicare 59

Medisys Compliance

MARCH 7, 2024

Understanding CPT Codes CPT codes are alphanumeric descriptors assigned to medical procedures, services, and supplies provided by healthcare professionals. These changes reflect emerging procedures, innovative technologies, and revisions to existing medical practices.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance Compliance 59

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. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

Medisys Compliance

OCTOBER 27, 2022

The medical billing services at your radiology center can get monotonous and become an overwhelming burden, which seems to never come to an end. The facility can save a lot of time and money by outsourcing medical billing and coding to a HIPAA compliant billing company. Access To Professionals With Experience.

HIPAA 105

HIPAA Medical Billing Medical Billing Services Medical Billing Outsourcing 105

Medisys Compliance

MAY 20, 2024

Payer Websites: Insurance companies and government agencies (Medicare, Medicaid) often publish reimbursement rates on their websites. Partnering with a Trusted Medical Billing Service Navigating the complexities of mental health services reimbursement can be time-consuming and challenging.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

Healthicity

JANUARY 31, 2024

Uncover the details behind a $2 million billing settlement as we dissect specific codes, billing patterns, modifiers, and medical necessity issues.

Governance 52

Governance Medical Billing Fraud Compliance 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

Medisys Compliance

MARCH 26, 2024

Medisys Data Solutions (MDS) , a leading medical billing company, understands these challenges. This guide explains basis of Holter monitor billing, empowering cardiology providers to optimize their revenue cycle. We offer a free consultation to assess your specific needs.

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Medical Billing Outsourcing Medical Billing Governance Medical Billing Services 64

Medisys Compliance

JULY 5, 2022

Identified overpayments are debts owed to the federal government. When Medicare identifies an overpayment, the amount becomes a debt a healthcare provider owes the federal government. In case of non-compliance, MAC refers the debt for collection. Laws and regulations require CMS recover overpayments.

Overpayments 52

Overpayments Overpayment Medicare Medicare 52

Medisys Compliance

MARCH 19, 2024

This comprehensive guide aims to explore the details of MAT billing, equipping providers with the knowledge necessary to navigate this complex terrain with confidence and accuracy. Looking to streamline your billing process? With our expertise, we ensure accurate billing for delivered services, including comprehensive support for MAT.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Health Services Administration Public Health 59

Medisys Compliance

AUGUST 7, 2023

Medisys’ commitment to compliance and adherence to industry standards builds confidence, allowing mental health practitioners to focus on providing exceptional care to their patients. Financial Accuracy: Improved accuracy in claims submissions and billing, leading to higher reimbursement rates.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Regulatory Compliance Medical Billing Compliance 52

Medisys Compliance

JULY 13, 2022

Outsourcing your medical billing and coding operations to a revenue cycle company like Medisys Data Solutions can solve lot of staffing problems. To tackle this challenge healthcare financial leaders should shift their mindsets and think about medical billing vendors as their partners in growth.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Fraud 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

Medisys Compliance

OCTOBER 23, 2023

This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Regulatory Compliance Compliance 59

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. CJ Wolf, MD, M.Ed.

COVID-19 52

COVID-19 Compliance Fraud Doctors 52

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. Let’s discuss them in detail: 1.

Regulatory Compliance 52

Regulatory Compliance Compliance ACA Medical Billing Outsourcing 52

Medisys Compliance

JUNE 24, 2022

Contractor: Wisconsin Physicians Service Government Health Administrators. Contractor: National Government Services, Inc. Contractor: Wisconsin Physicians Service Government Health Administrators. Contractor: National Government Services, Inc. A/B MAC Jurisdiction 6 (J6) (Processes HH+H claims).

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

AIHC

MAY 31, 2022

health care system relies heavily on third-party payers to pay the majority of medical bills on behalf of patients. Health care insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. Your organization should have a designated Compliance Officer.

Fraud 52

Fraud Compliance Officers Compliance Medicare 52

Medisys Compliance

JULY 25, 2022

The review also found private Medicare plans turned down 13 percent of authorizations for medical services that government-run Medicare would have allowed. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding. Reference: [link].

Medicare 52

Medicare Medicare US Department of Health and Human Services Medical Billing Outsourcing 52

Medisys Compliance

MAY 5, 2022

Medisys Data Solutions is a leading medical billing company providing complete billing and coding services for various medical billing specialities. We share billing and coding updates for provider education. Our team is well versed and updated on billing and coding updates for government and private payers.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

OCTOBER 30, 2023

In this article, we will explore the world of mental health billing and credentialing services, focusing on the unique needs of solo practitioners and how outsourcing can help streamline these crucial processes. Mental health credentialing is the process of becoming an approved provider with insurance companies or government health programs.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

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

Medicare reimbursement for wound care in SNFs is governed by the Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS). Medisys Data Solutions is a leading medical billing company providing complete billing and coding services for various medical billing specialties.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

MedTrainer

FEBRUARY 20, 2024

Insurance credentialing is the process where a healthcare organization registers a healthcare professional through specific insurance networks or government payers , like Medicare or Medicaid, to receive reimbursement for services rendered during a patient’s visit. What is Insurance Credentialing?

Licensing 52

Licensing Medical Billing Compliance Medicaid 52

Medisys Compliance

JULY 11, 2022

We shared new surprise billing requirements for reference only. The Consolidated Appropriations Act of 2021 established several new requirements to protect consumers from surprise medical bills. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Health Insurance Medicaid 52

Medisys Compliance

APRIL 11, 2022

However, when the operative report is not placed in the medical record immediately after surgery, a progress note should be entered. The record must contain a tissue diagnosis by a pathologist on any tissues removed during surgery excluding those exempted by the governing body. Post-operative orders for drugs and biologicals.

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. appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

Medisys Compliance

JUNE 10, 2022

Procedure codes 98940; 98941; and 98942 Chiropractic manipulative treatment: Spinal; 1-2/3-4; 5 regions) are used to bill chiropractic manipulative treatment. Medisys Data Solutions is a leading medical billing company providing assistance in complete medical billing and coding functions for various medical specialities.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

MAY 30, 2022

The Physician Certification Statement (PCS) is the written order certifying the medical necessity of non-emergency ambulance transports. The regulations governing PCS requirements are specified in the Code of Federal Regulations at 42 CFR 410.40(d). Defining Physician Certification Statement. Reference: [link].

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

JUNE 20, 2022

American Medical Association. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding functions for Medicare, Medicaid, government and private payers. CPT codes, descriptions and other data only are copyright 2022. All Rights Reserved.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52