Medisys Compliance

DECEMBER 7, 2022

A successful medical practice typically thanks its in-house medical billing staff for contributing to the practice’s success. It goes without saying that billing for medical services requires a lot of effort and time. It goes without saying that billing for medical services requires a lot of effort and time.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Hospitals 59

Medisys Compliance

JANUARY 17, 2023

If you’ve ever questioned about outsourcing your medical billing, this article will go through all the benefits it offers you in terms of operations, and all the reasons to outsource medical billing. Now, let’s consider the factors to consider when outsourcing Behavioral Health medical billing: 1.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 52

Medisys Compliance

SEPTEMBER 7, 2022

With thousands of different codes, intricacies, and reimbursement calculations used by scores of medical settings, medical billing is now super-complicated. Or perhaps it has been made complicated by the ones who handle your medical billing services. First let’s understand, what is the meaning of Medical Billing?

Medical Billing Services 52

Medical Billing Services Medical Billing Medical Billing Outsourcing Doctors 52

Medisys Compliance

DECEMBER 1, 2022

New York is home to thousands of hospitals and medical facilities that serve millions of residents. 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.

Medical Billing 52

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

MedTrainer

MARCH 8, 2024

Employee compliance training is essential to any healthcare organization’s onboarding process. This blog post will explore why compliance training is vital for an industry where mistakes or non-compliance can seriously affect patients, staff, and the organization.

Compliance 52

Compliance Fraud Governance HIPAA 52

Medisys Compliance

DECEMBER 9, 2022

Let’s glance through some of these proactive strategies to optimize medical billing services in 2023, shall we? It is preferable for practitioners looking for simple and organized billing service solutions to outsource medical billing to other businesses. They are also obliged to keep current with these rules.

Medical Billing Services 52

Medical Billing Services Medical Billing Medical Billing Outsourcing Doctors 52

Medisys Compliance

MARCH 25, 2022

AR days is an important indicator to represent financial health of any practice so accurately calculating AR days in medical billing will result in taking appropriate follow up actions. According to hospital benchmarks, AR days for facilities can range between 30 and 70 days. Calculating AR Days.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 52

Healthcare Law Blog

NOVEMBER 9, 2023

In late April this year, the Office of Inspector General, Department of Health and Human Services (OIG) announced that it would make changes to its existing body of healthcare compliance program guidance (CPGs) as part of its current Modernization Initiative. [1] On November 6, 2023, OIG finally published the GCPG on its website [3].

Compliance 52

Compliance Compliance Officers Fraud Medicare 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.” Can AI Streamline Medical Coding & Billing Functions?

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

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.” Can AI Streamline Medical Coding & Billing Functions?

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

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

APRIL 26, 2024

office, hospital outpatient department). Common POS codes for primary care include 11: Office; 20: Outpatient hospital. Essential Considerations for Accurate Outpatient Billing Accurate Documentation: Detailed and clear physician documentation is vital for accurate coding.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Healthcare IT Today

APRIL 27, 2024

Read more… International Hospitals Investing in Portals and Digital Front Doors. Read more… Balancing Digital Transformation and Regulatory Compliance for Patient Security. There are more than 50 lawsuits targeting hospitals for improper use of third-party tracking technology.

Regulatory Compliance 103

Regulatory Compliance Medical Billing Compliance Hospitals 103

HIT Consultant

JUNE 16, 2022

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.

Medical Billing 52

Medical Billing Compliance Health Insurance Hospitals 52

Medisys Compliance

DECEMBER 14, 2022

Every hospital has financial leakage due to some reason, which costs a significant amount of money. After researching the main revenue leak points in a hospital, we have realized that staying updated with changes in codes is crucial. Majority of the practices have benefitted with outsourcing medical billing services.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 98

Medisys Compliance

MAY 23, 2023

Medical billing can be a complex and confusing process for patients, with opaque pricing and unexpected charges often leaving individuals with large bills that they struggle to understand or afford. For patients, understanding medical billing can still be a daunting task, even with the increased transparency provided by the law.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 52

Medisys Compliance

MARCH 26, 2024

However, navigating the complexities of Holter monitor billing can be a time-consuming and error-prone process. 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.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Governance Medical Billing Services 64

Medisys Compliance

JUNE 16, 2022

Medicare’s 3-day (or 1-day) payment window applies to outpatient services that hospitals and hospital wholly owned or wholly operated Part B entities furnish to Medicare beneficiaries. However, if a third organization owns or operates both the hospital and the entity, then the payment window provision doesn’t apply.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medicare 52

Medisys Compliance

JANUARY 13, 2023

The promptness of your billing, account follow-ups, and reimbursements have a significant impact on your oncology practice’s financial performance. Being in compliance with all cancer billing regulations is essential to ensuring your facility’s profitability. in American Hospital Association v.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Doctors 52

Compliancy Group

FEBRUARY 7, 2024

CMS UPIC audits are designed to identify and prevent fraud, waste, and abuse within Medicare and Medicaid, ensuring that federal funds are used appropriately and that the services billed for are actually provided and are medically necessary. Inaccurate or fraudulent billing can trigger a UPIC audit.

Fraud 52

Fraud Compliance Medicare Medicare 52

HIT Consultant

MARCH 22, 2023

Paul Ketchel, CEO of MDsave Over two years have passed since the hospital price transparency rule was enacted. A recent study found only 16 percent of hospitals nationwide comply with price transparency guidelines. To date, only two hospitals in the United States, out of thousands, have been fined for non-compliance.

Patient Satisfaction 97

Patient Satisfaction Compliance Hospitals Health Insurance 97

Medisys Compliance

MARCH 19, 2024

Additional Billing Considerations In addition to mastering the core billing codes, providers must also navigate supplementary elements integral to accurate billing: Place of Service (POS) Codes: Indicating the treatment setting (e.g., office, hospital outpatient), POS codes play a pivotal role in determining reimbursement rates.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Health Services Administration Public Health 59

Medisys Compliance

NOVEMBER 3, 2022

Updating hospital admissions made while the billing system was in chaos, along with charges and payments. You can choose the level of support your office needs from our range of medical billing services for radiology practices , whether you need assistance regularly, occasionally, or occasionally. Compliance and Coding.

Medical Billing Services 98

Medical Billing Services Medical Billing Outsourcing Medical Billing Compliance 98

Medisys Compliance

MARCH 14, 2023

Wound care is provided in various healthcare settings like inpatient hospital, outpatient clinics, long-term care facilities, home health settings, hospice and skilled nursing facilities. For example, patients who require ongoing wound care but do not need to be hospitalized can receive treatment in outpatient clinics.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

Medisys Compliance

APRIL 11, 2024

The place of service for billing also offers flexibility. You can bill for services provided in various settings, including your private practice office, hospitals, outpatient clinics, and even some telehealth platforms. We also possess expertise in telehealth billing, a crucial aspect for MFTs and MHCs.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

JULY 13, 2022

According to a recent survey by AKASA, more than 57 percent of healthcare practices and hospitals have more than 100 open roles to fill, with one in four finance leaders needing to hire more than 20-plus employees to fully staff their revenue cycle departments. Billing companies provide you flexibility of adjusting your workload.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Fraud 52

HIPAA Journal

JANUARY 9, 2023

Experienced Healthcare Cybersecurity/Information Technology Leader with over 20 years in the hospital & healthcare industry. I provide cloud compliance advisory services for the healthcare industry through their cloud journey. I provide cloud compliance advisory services for the healthcare industry through their cloud journey.

HIPAA 75

HIPAA Compliance Medical Billing Hospitals 75

AIHC

JANUARY 5, 2022

Starting January 1, 2022, the No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers.

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

Medisys Compliance

MARCH 31, 2023

Determine the Provider Type Ohio Medicaid has different provider types, including Individual practitioners, group practices, Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), Hospitals, and Home health agencies. When enrolling in Ohio Medicaid, providers must determine which of these provider types they fall under.

Medicaid 52

Medicaid Medicaid Licensing Medical Billing Outsourcing 52

Medisys Compliance

FEBRUARY 5, 2024

Introduction The healthcare landscape is ever-evolving, and with it, the way medical services are delivered and billed. Ambulatory Surgery Centers (ASCs) have emerged as popular settings for various outpatient procedures, offering convenience and cost-effectiveness compared to traditional hospital stays.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

MedTrainer

NOVEMBER 17, 2023

Moreover, ensuring staff are properly trained and certified in CPR is part of maintaining regulatory compliance. Medical Lab Technicians: While not directly involved in patient care, lab technicians in healthcare settings benefit from knowing CPR in case of emergencies.

Compliance 52

Compliance Regulatory Compliance Hospitals Doctors 52

Medisys Compliance

MAY 19, 2022

The CR modifier is not required when billing for telehealth services. Hospital billing for remote visits. Hospitals can bill HCPCS code Q3014, the originating site facility fee, when a hospital provides services via telehealth to a registered outpatient of the hospital.

COVID-19 52

COVID-19 Medicare Medicare Medical Billing 52

Healthcare IT Today

JUNE 11, 2023

Half of Americans (52%) said paying medical bills is stressful , according to an HPS/PayMedix survey. Thirty percent of Americans have had to dip into their savings to pay medical bills, while 17% have delayed payments. to automate onboarding and compliance training for home care providers.

Medical Billing 71

Medical Billing Doctors Hospitals Compliance 71

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

JUNE 20, 2023

Billing CPT 95250 and CPT 95251 is a crucial aspect of medical billing for healthcare providers who offer diabetes self-management education and training (DSMT). physician office, hospital outpatient department).

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

OCTOBER 14, 2022

According to a recent study, in-house teams who perform medical billing need an average of 53.5 Outsourcing this task to a reputable Medical Billing and Coding Company such as Medisys Data Solutions is one approach to prevent income loss. Healthcare Billing Services. hours of training, which costs $3000.

Medical Billing Services 98

Medical Billing Services Medical Billing Medical Billing Outsourcing Regulations Compliance 98

YouCompli

OCTOBER 17, 2023

In part, the statement said the practice “…cooperated completely with the investigation, which involved examining the billing company that was responsible for their medical coding and billing…Unfortunately, medical billing is so complicated that physicians must rely on their medical billers to accurately reflect and bill for their services.”

COVID-19 52

COVID-19 Compliance Fraud Doctors 52