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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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Mastering Medical Billing in Kentucky: Answers to Common Billing Questions

Medisys Compliance

Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. This helps maintain compliance and reduce errors.

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Basics of Provider Enrollment for Ohio Medicaid

Medisys Compliance

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

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Navigating CMS UPIC Audits: A Guide for Healthcare Organizations

Compliancy Group

This is because the Centers for Medicare & Medicaid Services (CMS) have ramped up their efforts to identify organizations that have improperly billed for medical services. For healthcare organizations, understanding UPIC audits and preparing for them is essential to compliance. What is the Purpose of UPIC Audits?

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Basics of Anesthesiology Billing for Pain Management

Medisys Compliance

Understanding the minor details of anesthesiology billing for pain management is crucial for healthcare providers who want to optimize their revenue cycle and maintain compliance with ever-evolving regulations. Medical Necessity: Establishing medical necessity is critical for securing reimbursement.

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Comprehensive Guide: CPT Code G0463 vs 99214 – Comparison and Insights

Physician Credentialing Company

It is crucial to understand the difference between the different CPT codes for accurate medical billing, compliance with the standards shared by the authorities, and complete reimbursement. Some of the most used HDPCS & CPT codes, G0463 and 99214, are commonly compared for billing for hospital visits.

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Breaking Down the Implications of New No Surprises Act Regulations

HIT Consultant

Lynne Rinehimer, Esq, GRC Sales Engineer and Compliance SME for symplr. The importance of the No Surprises Act (NSA) cannot be overstated, as surprise medical bills have long been burdensome for patients in the U.S. consumers have received an unexpectedly large medical bills. healthcare system. Texas Ruling.