The Health Law Firm

JUNE 13, 2017

Board Certified by The Florida Bar in Health Law On May 1, 2017, a federal jury in Michigan found a Detroit-area doctor and owner of a medical billing company guilty of perpetrating a $28 million health care fraud scheme. Indest III, J.D., Health Care Fraud Scheme.

Medical Billing 40

Medical Billing Fraud Doctors Medicare 40

Medisys Compliance

MARCH 21, 2023

What is Credentialing Doctors? Credentialing of doctors is a process that involves the evaluation of a doctor’s qualifications, education, training, licensure, and experience to determine if they meet the requirements set by the insurance company.

Doctors 52

Doctors Malpractice Licensing Medical Billing Outsourcing 52

Medisys Compliance

JUNE 10, 2022

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT).

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Nearly three in four (72%) patients say affordability is the biggest challenge to paying larger healthcare bills , according to a survey from Cedar.

Medical Billing 118

Medical Billing Department of Veterans Affairs Medicare Medicare 118

The Health Law Firm Blog

SEPTEMBER 5, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Doctors Licensing Medicaid 52

The Health Law Firm Blog

OCTOBER 18, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Doctors Licensing Nurses 52

Medisys Compliance

APRIL 11, 2024

Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose. Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria. The next step involves enrolling as a Medicare provider.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

The Health Law Firm Blog

SEPTEMBER 26, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Doctors Licensing Medicaid 52

Medisys Compliance

FEBRUARY 7, 2022

Medicare pays a physician for an Annual Wellness Visit (AWV) service. This visit is planned to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA) which is covered once every 12 months by Medicare. Medicare also waives the AWV coinsurance or co-payment and the Medicare Part B deductible.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

APRIL 1, 2024

Patients can now access convenient and timely consultations with their doctors remotely, improving access to care and reducing healthcare disparities. However, navigating the billing process for these virtual visits can be complex for primary care providers. Policies can change frequently.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

Medisys Compliance

DECEMBER 29, 2022

This can be swiftly done with medical billing outsourcing services. From doctors, nurses, and other clinicians to the medical billing and coding team and front office workers, everyone has a job to do. The post How To Reduce AR Days With Oncology Billing? Clean claims will result in faster reimbursements.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

APRIL 5, 2023

A nerve block injection involves injecting medication directly into the nerves to reduce inflammation and relieve pain. The injection is typically performed in an outpatient setting, such as a doctor’s office or a hospital. Resolving Commons Doubts while Billing 64625 1. Is CPT 64625 Covered by Medicare?

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Health Populi

OCTOBER 15, 2019

These study respondents had also visited a doctor or hospital and paid a medical bill in the past year. One-third of these patients had a health care bill go to collections in the past year, according to Cedar’s 2019 U.S. 50% want clearer, easier-to-understand medical bills.

Medical Billing 95

Medical Billing Doctors Medicare Medicare 95

Kaiser Health News

APRIL 16, 2024

As a result, the lawsuit alleges, consumers lost access to their doctors or medications and faced financial costs, such as owing money toward medical care or having to repay tax credits that were paid toward the unauthorized coverage. Some consumers were switched multiple times or had duplicative policies.

ACA 131

ACA Health Insurance Governance Medical Billing 131

Medisys Compliance

JULY 10, 2023

GT Modifier – Synchronous Telehealth Services [Medicare] The GT modifier is specifically used for Medicare claims to indicate that mental health services were provided through synchronous telehealth. It is similar to the 95 modifier and is used to ensure proper billing and reimbursement for telehealth services under Medicare.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Licensing Doctors Medicare 52

Medisys Compliance

MARCH 21, 2024

Benefits of EHR Integration for OB/GYN Billing Streamlined Workflows: Integration eliminates the need for manual data entry and duplicate documentation, saving time and resources for OB/GYN providers. Patient information flows seamlessly from clinical encounters to billing, reducing administrative burdens and improving practice efficiency.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Doctors Medical Billing Services 59

Health Populi

JUNE 26, 2023

Note that 21% of these sicker patients needed a particular doctor or hospital not covered by their insurance — that is, out-of-network. Note that one-third of people enrolled in Medicare or employer-sponsored insurance (ESI) self-rationed care due to cost in the past year. The top reason people in the U.S.

Health Insurance 62

Health Insurance Doctors COVID-19 Medical Billing 62

Jane Sarashon

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. Patients and health plan members continue evolving into medical bill payers, with their homes and budgets baked into the concept.

US Department of Health and Human Services 72

US Department of Health and Human Services Health Insurance Medicare Medicare 72

Kaiser Health News

MAY 31, 2022

So when her primary care doctor suggested she be screened for colorectal cancer in September, Melville dutifully prepped for her colonoscopy and went to New London Hospital’s outpatient department for the zero-cost procedure. The former generally incurs no cost to patients under the ACA; the latter can generate bills.

ACA 103

ACA Doctors Medical Billing Hospitals 103

Medisys Compliance

APRIL 17, 2023

Insurance Coverage for Diabetes Care Insurance coverage for diabetes care is critical, as it enables patients to access necessary medical care and supplies to manage their condition. There are several types of insurance plans available including private insurance, Medicare, and Medicaid.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing ADA Medicaid 52

Hall Render

APRIL 19, 2024

Cedars Leads Latest Round Of Funding In Yolo County, 16,000 Medi-Cal patients lose doctors in Dignity Health dispute with Partnership HealthPlan Kaiser med school names CEO Kaiser Permanente launches food-is-medicine hub Kaiser, Vizient target healthcare greenhouse gas emissions L.A. Can lawmakers do anything about it?

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Health Populi

AUGUST 11, 2019

“In an extreme example of angst over expensive medical bills , an elderly Washington couple who lived near the U.S.-Canadian Canadian border died in a murder-suicide this week after leaving notes that detailed concerns about paying for medical care,” USA Today reported on August 10, 2019. million all-in.

Medical Billing 91

Medical Billing Doctors Medicare Medicare 91

Health Law RX

DECEMBER 21, 2023

The Ransomware Settlement In October 2023 (also Cybersecurity Awareness Month), OCR entered into the Ransomware Settlement with Doctors’ Management Services (DMS), a medical management company that provides a variety of administrative services, such as medical billing and payor credentialing.

HIPAA 52

HIPAA Ransomware Compliance Medicaid 52

Health Populi

SEPTEMBER 27, 2023

healthcare spending, with curves moving up and to the right, and the Medicare Hospital Insurance Trust Fund moving into the opposite direction toward insolvency by 2033. adults saying inflation has made it harder to pay medical bills.

COVID-19 97

COVID-19 Medical Billing Health Care Access Hospitals 97

Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ million expansion ‘Very, very unusual.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

MedTrainer

AUGUST 8, 2022

The Office of Inspector General for the Department of Health and Human Services is basically like the FBI of the HHS and they have a list of thousands of individuals and entities excluded from federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud.

US Department of Health and Human Services 40

US Department of Health and Human Services Medical Billing Hospitals Compliance 40

MedTrainer

FEBRUARY 13, 2022

The Office of Inspector General for the Department of Health and Human Services is basically like the FBI of the HHS and they have a list of thousands of individuals and entities excluded from federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud.

US Department of Health and Human Services 40

US Department of Health and Human Services Medical Billing Hospitals Compliance 40

Health Populi

JANUARY 18, 2019

On the positive side of transparency, the Centers for Medicare and Medicaid Services mandated that health care providers must post prices online, the requirement discussed here on CMS’s website. As the Harvard Chan-POLITICO study points out, prescription drug costs are top-of-mind for health consumers in America.

Prescription Drug Pricing 64

Prescription Drug Pricing Health Insurance Doctors Medicare 64

AIHC

MARCH 2, 2023

The role of Compliance Officer for an association with 200 doctors had its challenges. My task was to educate providers and staff through seminars on rules and regulations with Medicare. The most challenging aspect of having my own medical billing and consulting company was working with people.

Compliance Officers 52

Compliance Officers Compliance Fraud Medical Billing 52

AIHC

NOVEMBER 3, 2021

How would you feel if you knew your doctor shared his/her password to your personal medical records with an unauthorized user? What if someone in medical billing shared his/her password to your account (containing your medical and financial identity) with someone not authorized to access your information?

HIPAA 52

HIPAA Compliance Electronic Medical Records Governance 52

Hall Render

APRIL 22, 2022

San Francisco’s Laguna Honda Hospital Loses Medicaid, Medicare Funding. Chicago hospital to mentor next generation of doctors, change face of medicine. Group of women suing Deaconess and former doctor over medical records. Why physician-led care teams are key to battling doctor shortage. Were you overcharged?

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Innovaare Compliance

AUGUST 8, 2023

This Act seeks to eliminate surprise billing that occurs when insured consumers inadvertently receive care from out-of-network hospitals or doctors that they did not request. A study by Peterson-KFF demonstrates that surprise billing, as a result of out-of-network providers, occurs in approximately one in five visits.

Medical Billing 40

Medical Billing Compliance Hospitals Doctors 40

Hall Render

MAY 19, 2023

Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4 Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 40

Healthcare IT Today

SEPTEMBER 19, 2023

Certain pieces of clinical data, such as medication history, are not available to all healthcare providers in the same way, often locked away behind commercial models that are not logical where health is at risk and which can lead to serious patient harm. For first responders, access to medication history is often denied altogether.

Hospitals 135

Hospitals HIPAA Nurses Governance 135

Hall Render

SEPTEMBER 15, 2023

refinancing secured for Stamford, Connecticut, medical office building A CT hospital will receive $90 million. million in federal funding Dignity Health – Memorial Hospital awarded Primary Heart Attack Center Certification Kaiser trash inspections end in $49M settlement L.A. There’s a group that doubts it deserves it.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

FEBRUARY 18, 2022

13-year Medicare payment dispute will return to HHS, court rules. TLC medical show features cases from Alabama hospital. Doctors: Pediatric COVID cases appear to be trending down. Local doctor suing Wellstar over racial discrimination; attorneys say it’s part of a bigger issue. CMS delays star ratings update until July.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Kaiser Health News

JUNE 16, 2022

Ariane Buck, a young father in Arizona who sells health insurance, couldn’t make an appointment with his doctor for a dangerous intestinal infection because the office said he had outstanding bills. Perhaps most perversely, medical debt is blocking patients from care. An even greater share ? about two-thirds ?

US Department of Health and Human Services 145

US Department of Health and Human Services Medical Billing Hospitals Medicare 145