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Orthopedic Billing Compliance Checklist – A Guide for Healthcare Providers

Medisys Compliance

Compliance with Regulatory Guidelines Ensure that all claims are submitted per all applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Fraud, Waste, and Abuse (FWA) laws. Stay up-to-date on all changes to regulatory requirements.

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Top Compliance Issues In 2023: What You Can Do

Medisys Compliance

Medical billing companies and healthcare providers that participate in these programs must comply with a variety of regulations, including billing and coding guidelines, documentation requirements, and fraud and abuse laws.

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Factors to consider when outsourcing Behavioral Health medical billing

Medisys Compliance

Your outsourcing company should adhere to various laws, medical regulations, and recommendations in addition to HIPPA. This assists you in maintaining high standards of care and ethics, lowering your vulnerability to fraud, and generally improving your revenue cycle. Recognition.

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Common Radiology Billing Mistakes to Avoid

Medisys Compliance

Duplicate Billing Duplicate billing , the inadvertent billing for the same service multiple times, can result in claim denials and potential fraud investigations. With Medisys as your trusted partner, radiologists can confidently navigate the complexities of radiology billing and achieve their financial goals.

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Navigating the Complex World of Emergency Medical Specialists Billing

Medisys Compliance

As technology advances and healthcare delivery models evolve, several emerging trends are shaping the future of emergency medical specialists billing: Artificial Intelligence (AI): AI-powered tools are being used to enhance coding accuracy, reduce errors, and identify potential fraud.

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Tips to Keep Your Practice HIPAA Compliant

Medisys Compliance

Another goal was to prevent healthcare fraud. The post Tips to Keep Your Practice HIPAA Compliant appeared first on Leading Medical Billing Outsourcing Services Company in the USA. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA.

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Outsourcing Can Solve Your Staffing Challenges

Medisys Compliance

We observed wrong procedures like incorrect use of modifiers, upcoding, incomplete documentation, and lack of medical necessity. Such wrong billing practices could be considered as fraud billing and might attract external payer audit also.