Medisys Compliance

FEBRUARY 27, 2024

In this article, we will explore the complex landscape of radiology billing compliance, exploring key regulations, audit processes, and strategies for ensuring adherence to guidelines. Understanding Regulatory Framework Radiology billing is governed by a multitude of regulations at the federal, state, and local levels.

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Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

MARCH 19, 2024

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.

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Medical Billing Outsourcing Medical Billing Health Services Administration Public Health 59

Medisys Compliance

JUNE 24, 2022

Contractor: Wisconsin Physicians Service Government Health Administrators. Contractor: National Government Services, Inc. Contractor: Wisconsin Physicians Service Government Health Administrators. Contractor: National Government Services, Inc. A/B MAC Jurisdiction 8 (J8).

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

MARCH 7, 2024

Understanding CPT Codes CPT codes are alphanumeric descriptors assigned to medical procedures, services, and supplies provided by healthcare professionals. Moreover, CPT codes facilitate data analysis, research, and quality improvement initiatives within the healthcare system.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance Compliance 59

Medisys Compliance

JULY 5, 2022

Identified overpayments are debts owed to the federal government. When Medicare identifies an overpayment, the amount becomes a debt a healthcare provider owes the federal government. Laws and regulations require CMS recover overpayments. This fact sheet describes the overpayment collection process.

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Overpayments Overpayment Medicare Medicare 52

Medisys Compliance

OCTOBER 23, 2023

This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Regulatory Compliance Compliance 59

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.

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COVID-19 Medicare Medicare Medical Billing 52

Medisys Compliance

OCTOBER 30, 2023

In this article, we will explore the world of mental health billing and credentialing services, focusing on the unique needs of solo practitioners and how outsourcing can help streamline these crucial processes. What is Mental Health Credentialing?

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Malpractice Licensing 59

Medisys Compliance

AUGUST 7, 2023

Our Mental Health Billing Services Our mental health billing services involve the process of submitting claims for reimbursement to insurance companies and government programs.

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Medical Billing Outsourcing Regulatory Compliance Medical Billing Compliance 52

Medisys Compliance

DECEMBER 27, 2022

Manufacturing, IT, ITeS services, and many more industries have previously built and are successfully utilizing outsourcing models.

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Medical Billing Outsourcing Medical Billing Medical Billing Services Governance 98

Healthcare IT Today

JUNE 29, 2023

Compliance Requirements for ASC Billing ASCs can face serious penalties for not complying with regulatory changes. Updates and proper billing practices are crucial after recent enforcement actions and penalties. Audits, fines, repayment demands, and government program suspensions are enforcement actions.

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Compliance Medicare Medicare Medical Billing 52

Medisys Compliance

SEPTEMBER 12, 2022

Medical specialists can either build their own billing team or outsource their medical billing services to medical billing companies. To add to the confusion, the rules governing how all of this must work are constantly changing. Nearly all billing software’s is familiar to us.

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Medical Billing Services Medical Billing Hospitals Medical Billing Outsourcing 98

Medisys Compliance

JULY 25, 2022

The review also found private Medicare plans turned down 13 percent of authorizations for medical services that government-run Medicare would have allowed. The denials often were a result of errors in processing claims.

Medicare 52

Medicare Medicare US Department of Health and Human Services Medical Billing Outsourcing 52

Medisys Compliance

MAY 5, 2022

Medisys Data Solutions is a leading medical billing company providing complete billing and coding services for various medical billing specialities. We share billing and coding updates for provider education. To view the proposed rule, visit: [link].

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

MARCH 14, 2023

Skilled Nursing Facilities (SNFs) Medicare is the primary payer for wound care services provided in skilled nursing facilities (SNFs). Medicare reimbursement for wound care in SNFs is governed by the Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS).

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Payment Systems Medical Billing Medicare Medicare 52

Medisys Compliance

DECEMBER 1, 2022

First, let’s glance through the challenges faced by the New York physicians when it comes to medical billing, shall we? These laws governing secrecy are, however, constantly changing, and if not followed correctly, can result in heavy fines.

Medical Billing 52

Medical Billing Medical Billing Outsourcing US Department of Health and Human Services Doctors 52

Medisys Compliance

MAY 10, 2023

However, in recent years, the issue of balance billing has become a major concern for both patients and providers. In response to this issue, the Virginia state government has introduced balance billing protection laws to safeguard patients from unexpected medical bills.

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Medical Billing Medical Billing Outsourcing Compliance Medical Billing Services 52

Medisys Compliance

JULY 13, 2022

Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding. We can assist you in receiving accurate insurance reimbursement from private and government payers.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Fraud 52

Medisys Compliance

JUNE 10, 2022

Medisys Data Solutions is a leading medical billing company providing assistance in complete medical billing and coding functions for various medical specialities. We can guide your chiropractic practice to receive accurate insurance reimbursements from private and government payers.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

JULY 18, 2022

Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding. We can assist you in receiving accurate insurance reimbursement from private and government payers for your skilled nursing facility (SNF).

Medical Billing 52

Medical Billing Medicare Medicare Medical Billing Outsourcing 52

Medisys Compliance

APRIL 25, 2023

In addition, you should ensure that the billing company is knowledgeable about and compliant with other relevant regulations, such as the Affordable Care Act (ACA) and the Medicare Access and CHIP Reauthorization Act (MACRA).

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Regulatory Compliance Compliance ACA Medical Billing Outsourcing 52

Medisys Compliance

JULY 11, 2022

The rules don’t apply to people with coverage through programs like Medicare, Medicaid, Indian Health Services, Veterans Affairs Health Care, or TRICARE.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Health Insurance Medicaid 52

Medisys Compliance

APRIL 11, 2022

However, when the operative report is not placed in the medical record immediately after surgery, a progress note should be entered. The record must contain a tissue diagnosis by a pathologist on any tissues removed during surgery excluding those exempted by the governing body. Post-operative orders for drugs and biologicals.

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Medical Billing Outsourcing Medical Billing Informed Consent Nurses 52

Medisys Compliance

FEBRUARY 28, 2022

When practice deals with government and various private insurance carriers and that too for various billing scenarios, each denial is different. It is the process where every unpaid claim is investigated. It helps practices quickly and easily determine the causes of denials, know the future risks, and get paid faster.

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Medical Billing Outsourcing Medical Billing Medical Billing Services Governance 52

Medisys Compliance

SEPTEMBER 9, 2022

Because medical coding standards are continually changing, utilizing an out-of-date reference book could result in your claim being rejected, which would delay your payout. Optometry medical coders should be knowledgeable about the most recent changes to the laws and guidelines governing billing.

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Medical Billing Medical Billing Outsourcing Doctors Fraud 98

Medisys Compliance

JANUARY 11, 2023

A good transition strategy should have a single point of contact, a thorough examination of your present revenue cycle, training for internal staff, and the assignment of duties to your team and the billing business. There are various procedures that govern medical billing and each State has its own billing regulations.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 52

Medisys Compliance

SEPTEMBER 16, 2022

Do not add modifier 50 to the second line of service when reporting a bilateral procedure on two lines of service. In fact, the government and insurance companies deny claims because of such medical billing and coding mistakes. Consequences of Excessive Usage of Modifier 50.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 105

Medisys Compliance

OCTOBER 8, 2023

Documentation: Comprehensive and accurate documentation of the patient’s condition, treatment plan, and progress is essential for proper billing and to demonstrate medical necessity. Telehealth Billing: In recent years, telehealth has become a vital platform for delivering mental health services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Hall Render

APRIL 12, 2024

John vote to strike for 24 hours in Detroit Health systems continue to snap up ASCs Mary Free Bed argues it owns disputed architectural designs for $60M pediatric hospital Michigan health care system aims to ease burden of medical debt ProMedica Hospital Coldwater finances improve in first quarter of 2024 Sparrow Hospital to donate homes for affordable (..)

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Nursing Homes Nurses Hospitals Medicaid 40