Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. Understanding these updates is crucial for behavioral health providers to ensure compliance, maximize reimbursements, and continue delivering high-quality care. All rights reserved.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

FEBRUARY 9, 2024

Hospital Outpatient Prospective Payment System (OPPS) Updates OPPS is a payment system used by Medicare to reimburse hospitals for outpatient services, including some wound care procedures. The Centers for Medicare & Medicaid Services (CMS) issues annual updates to the OPPS payment rates and co-payment amounts.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

Medisys Compliance

JULY 11, 2024

Regular Audits and Reviews: Regularly audit your billing practices to identify any coding inconsistencies or missed opportunities. Understanding Reimbursement Models Outpatient Prospective Payment System (OPPS): This model assigns Ambulatory Payment Classifications (APCs) to specific wound care procedures, determining the reimbursement rate.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Payment Systems Medical Billing Services 59

Medisys Compliance

JUNE 16, 2022

In general, if a hospital has direct ownership or control over another entity’s operations, then services that other entity provides are subject to the payment window policy. If the admitting hospital is a Critical Access Hospitals (CAHs), the payment window policy doesn’t apply. Defining Wholly Owned or Wholly Operated.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medicare 52

Healthcare IT Today

FEBRUARY 2, 2024

This quote lies at the heart of integrity, a powerful concept that applies equally critically in the healthcare payments environment as it does in daily life. Benefits of Implementing a Pre-Payment Model Overreliance on a post-payment claims review process perpetuates systemic inaccuracy and waste.

Payment Systems 73

Payment Systems Overpayments Overpayment Medical Billing 73

Medisys Compliance

APRIL 18, 2022

We shared basics of Alternative Payment Models (APMs) for reference purpose only, for detailed understanding you visit CMS website mentioned below. Medisys Data Solutions is a leading medical billing company providing billing and coding services for various medical billing specialities. APMs Overview.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

Medisys Compliance

APRIL 11, 2024

However, it’s important to note that MFT and MHC services furnished to residents of skilled nursing facilities (SNFs) remain subject to consolidated billing under the SNF prospective payment system (PPS). 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

JUNE 20, 2022

If a patient receiving home infusion therapy is also under a home health plan of care and receives a visit that is unrelated to the administration of the home infusion drug, then payment for the home health visit would be covered under the Home Health Prospective Payment System (HH PPS) and billed on the home health claim.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Physician Credentialing Company

OCTOBER 25, 2024

In the medical billing field, Current Procedural Terminology (CPT) codes refer to the universal code that is used by healthcare providers to report and bill their rendered services. Therapy sessions billed by code 90834 generally involve structured treatment approaches. FAQ - People Also Asks What is CPT code 90834?

Licensing 52

Licensing Medical Billing Telemedicine Medicare 52

Medisys Compliance

NOVEMBER 21, 2023

Accurate and timely billing is a fundamental aspect of financial success for Skilled Nursing Facilities (SNFs), particularly when it comes to optimizing SNF billing. In this guide, we will explore into essential SNF billing tips to help you optimize your billing processes and navigate the complexities of reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

HIT Consultant

SEPTEMBER 7, 2021

Here are several overarching principles for proactively providing patients with the information they need to make decisions on their care as well as striving to avoid the situations that can lead to surprise medical bills. . Lean into the regulations to go above and beyond compliance. References. anesthesia and radiology).

Medical Billing 52

Medical Billing Hospitals Medicaid Medicaid 52