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Billing Medicare Telehealth during COVID-19 PHE

Medisys Compliance

The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located.

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Diabetes Education Billing Guidelines for Medicare

Medisys Compliance

Medicare recognizes the importance of diabetes self-management training and offers coverage for eligible beneficiaries. However, there are specific guidelines and conditions that need to be met for Medicare billing. Diabetes Education Billing Guidelines for Medicare Who May Furnish the Training?

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Brief about Wound Care Reimbursements in Various Healthcare Settings

Medisys Compliance

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.

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A Guide to Holter Monitor Billing for Cardiology Practices

Medisys Compliance

This guide explains basis of Holter monitor billing, empowering cardiology providers to optimize their revenue cycle. Understanding CPT Codes for Holter Monitoring The Current Procedural Terminology (CPT) codes govern Holter monitor billing. Holter monitor application along with an EKG) 25: Unusual procedural service (e.g.,

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Requirement of Physician Certification Statement for Ambulance Services

Medisys Compliance

The Physician Certification Statement (PCS) is the written order certifying the medical necessity of non-emergency ambulance transports. The regulations governing PCS requirements are specified in the Code of Federal Regulations at 42 CFR 410.40(d). These regulations are the basis for Medicare guidelines. Registered nurse (RN).

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Comprehensive Guide to Medication-Assisted Treatment (MAT) Billing

Medisys Compliance

This comprehensive guide aims to explore the details of MAT billing, equipping providers with the knowledge necessary to navigate this complex terrain with confidence and accuracy. office, hospital outpatient), POS codes play a pivotal role in determining reimbursement rates.

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Basics of Provider Enrollment for Ohio Medicaid

Medisys Compliance

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. For example, hospitals and home health agencies may be subject to additional state and federal regulations, while individual practitioners may have fewer requirements to meet.