Governance Medicaid Medical Billing Medicare 
Compliancy Group
JANUARY 3, 2024
One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. It pays to know the law and avoid temptations to cut corners.
Medisys Compliance
MARCH 31, 2023
Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.
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Health Populi
DECEMBER 9, 2021
” Younger people point to the government’s and provider’s responsibility for informing and educating them on health insurance coverage, along with health plans. Furthermore, surprise medical bills continue to confront patients-as-consumers, which erodes trust and loyalty between that person and her health plan and provider.
Medisys Compliance
MAY 19, 2022
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.
Medisys Compliance
MAY 5, 2022
On 22 nd April 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare enrollment and eligibility rules that would expand coverage for people with Medicare and advance health equity. Sections 120 and 402 of the CAA made two key changes to Medicare enrollment rules.
Medisys Compliance
FEBRUARY 27, 2024
Understanding Regulatory Framework Radiology billing is governed by a multitude of regulations at the federal, state, and local levels. Audit Processes Radiology practices are subject to audits by various entities, including Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), and private payers.
Medisys Compliance
JUNE 20, 2022
Under Fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. Medicare Coverage. Only a qualified home infusion therapy supplier can bill for services under the new home infusion therapy services benefit.
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