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Navigating Medicare Billing: A Physician’s Guide

Medisys Compliance

Introduction For many physician practices, Medicare beneficiaries represent a significant portion of their patient population. However, navigating the complexities of Medicare billing can be a challenging task, especially when considering its distinct differences from private insurance models.

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CMS Behavioral Health Billing Guidelines: Simplified for Outpatient Providers

Medisys Compliance

Behavioral health providers play a critical role in addressing mental health challenges, but navigating the complexities of billing can be daunting. The Centers for Medicare & Medicaid Services (CMS) provides comprehensive behavioral health billing guidelines, which can be overwhelming due to their technical nature and breadth.

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SNF Billing Compliance Made Simple

Medisys Compliance

Skilled Nursing Facility (SNF) billing compliance is a critical aspect of healthcare revenue cycle management, ensuring accurate reimbursement and adherence to Medicare regulations. As healthcare providers navigate the complexities of SNF billing, maintaining compliance is essential to avoid penalties, denials, and financial losses.

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Top Compliance Issues In 2023: What You Can Do

Medisys Compliance

Medicare and Medicaid: Medicare and Medicaid are government-funded healthcare programs that provide coverage to millions of Americans. State Laws: In addition to federal laws, medical billing companies and healthcare providers must also comply with state laws and regulations.

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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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CMS Radiation Oncology Billing Guidelines 2024

Medisys Compliance

In 2024, the Centers for Medicare & Medicaid Services (CMS) introduced several crucial updates to radiation oncology billing guidelines. These guidelines cover various aspects of billing, including CPT codes, HCPCS codes, ICD-10 codes, and documentation requirements.

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Navigating the Complex World of Emergency Medical Specialists Billing

Medisys Compliance

Emergency medical coders use standardized code sets like CPT (Current Procedural Terminology) and ICD-10 (International Classification of Diseases) to describe the services rendered. Data Analytics: Healthcare facilities are increasingly leveraging data analytics to assess billing trends and patterns, optimizing revenue cycle management.