Healthcare Compliance Blog

APRIL 12, 2022

However, instead of forwarding those taxes to the government, she kept them for her business. Additionally, she did not pay the government the employer’s portion of the FICA taxes, federal unemployment tax, employment tax, or state withholdings, which totaled over $1 million. The withheld taxes totaled over $900,000.

Medical Billing 59

Medical Billing Fraud Governance Medicare 59

Medisys Compliance

MARCH 5, 2024

Understanding the Landscape of Cardiology Billing Cardiology billing encompasses a wide range of services, including diagnostic testing, interventional procedures, and ongoing patient care. These audits can be time-consuming and resource-intensive if not managed effectively.

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Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

OCTOBER 27, 2022

The medical billing services at your radiology center can get monotonous and become an overwhelming burden, which seems to never come to an end. The facility can save a lot of time and money by outsourcing medical billing and coding to a HIPAA compliant billing company. Access To Professionals With Experience.

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HIPAA Medical Billing Medical Billing Services Medical Billing Outsourcing 105

Health Populi

DECEMBER 6, 2018

believe that the Federal government should ensure that their fellow Americans, a new Gallup Poll found. This asked people whether they would prefer a government-run health system. Most Democrats believe that the government should both ensure universal healthcare and run it. Most people in the U.S.

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Governance Medical Billing Medicaid Medicaid 71

Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. Medicare and Medicaid: Medicare and Medicaid are government-funded healthcare programs that provide coverage to millions of Americans.

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Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Healthicity

JANUARY 31, 2024

Uncover the details behind a $2 million billing settlement as we dissect specific codes, billing patterns, modifiers, and medical necessity issues.

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Governance Medical Billing Fraud Compliance 52

Medisys Compliance

SEPTEMBER 12, 2022

Medical billing is almost always a time-consuming, perplexing, and stressful experience with a lot of room for error in any typical practice. Medical specialists can either build their own billing team or outsource their medical billing services to medical billing companies. A Closer Look.

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Medical Billing Services Medical Billing Hospitals Medical Billing Outsourcing 98

Medisys Compliance

SEPTEMBER 9, 2022

Medical billing errors are simple to make but have a significant impact on the overall revenue of the healthcare organization. Optometry medical billers deal with a variety of problems, including returned claims, denied claims, rejected invoices, improper coding, and insufficient data. Using medical coding manual .

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Medical Billing Medical Billing Outsourcing Doctors Fraud 98

Medisys Compliance

MARCH 26, 2024

Medisys Data Solutions (MDS) , a leading medical billing company, understands these challenges. This guide explains basis of Holter monitor billing, empowering cardiology providers to optimize their revenue cycle. We offer a free consultation to assess your specific needs.

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Medical Billing Outsourcing Medical Billing Governance Medical Billing Services 64

Hall Render

OCTOBER 6, 2023

The federal government plans to define “zero-emissions building” for the real estate industry. The Biden administration announced a new initiative that would prohibit unpaid medical bills from affecting American’s credit scores. Government officials originally estimated the cost of compliance at $4B.

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Nursing Homes Nurses Governance Medical Billing 40

Medisys Compliance

MARCH 7, 2024

Understanding CPT Codes CPT codes are alphanumeric descriptors assigned to medical procedures, services, and supplies provided by healthcare professionals. About Medisys Data Solutions (MDS) Medisys Data Solutions (MDS) is a leading medical billing company committed to optimizing revenue cycles for healthcare providers.

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Medical Billing Medical Billing Outsourcing Regulatory Compliance Compliance 59

Healthcare Law Blog

APRIL 13, 2022

However, the NSA does not explicitly indicate which states’ existing balance billing laws qualify as “specified State law[s]”—rather, each state must independently review the provisions of the NSA to determine if its existing balance billing laws qualify. The NSA refers to such qualifying laws as “specified State law[s]”.

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Governance Medical Billing Licensing Medicare 52

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. Looking to streamline your billing process? With our expertise, we ensure accurate billing for delivered services, including comprehensive support for MAT.

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Medical Billing Outsourcing Medical Billing Health Services Administration Public Health 59

Kaiser Health News

APRIL 16, 2024

District Court for the Southern District of Florida, two such call centers paid tens of thousands of dollars a day to buy names of people who responded to misleading advertisements touting free government “subsidies” and other rewards. Her actual agent also lost the commission.

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ACA Health Insurance Governance Medical Billing 137

Bill of Health

JULY 20, 2022

However, according to the Government Accountability Office (GAO), there are no measures built into the program to assure that 340B program discounts are being used to support care for low-income populations, let alone to improve access to medicines discounted through the program. increase in hospital prices and offset by a 15.4%

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Hospitals Medical Billing Public Health COVID-19 144

Center for Health Insurance Reform

OCTOBER 20, 2022

The No Surprises Act (NSA) aims to protect consumers facing surprise medical bills after receiving care from out-of-network providers under circumstances beyond their control. In a new report for the Commonwealth Fund, CHIR experts look at how states are working with the federal government to implement this landmark law.

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Medical Billing Health Insurance Governance 63

Health Populi

DECEMBER 1, 2023

consumers say they can’t afford to pay their medical bills on-time, based on the 2023 Consumer Survey from Access One, a financial services company focused on healthcare payments. Furthermore, one-third of consumers are not confident they could pay a medical bill of $500 or more. Two-thirds of U.S. Note that U.S.

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Medical Billing Governance Hospitals Health Insurance 68

Medisys Compliance

JULY 13, 2022

Outsourcing your medical billing and coding operations to a revenue cycle company like Medisys Data Solutions can solve lot of staffing problems. To tackle this challenge healthcare financial leaders should shift their mindsets and think about medical billing vendors as their partners in growth.

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Medical Billing Medical Billing Outsourcing COVID-19 Fraud 52

Healthcare IT Today

OCTOBER 29, 2023

Point-to-point encryption vendor Bluefin is integrating with CORE payment products for government and healthcare customers. WebMD Ignite and Freshpaint are partnering to incorporate patient privacy into healthcare marketing services.

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Medical Billing FDA Hospitals Governance 95

Medisys Compliance

SEPTEMBER 16, 2022

Similarly, incorrectly applied dermatology billing modifiers on a claim will result in denials. Experienced dermatology medical billing and coding services providers can assist practices in filing clean claims by assigning the appropriate codes and modifiers to support the services rendered.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 105

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

MedTrainer

MARCH 8, 2024

It educates employees on the laws, regulations, and policies governing their work and ensures they understand their responsibilities and obligations as healthcare professionals. Successful training is when team members understand and comply with various laws, regulations, and policies that govern the healthcare industry.

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Compliance Fraud Governance HIPAA 52

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

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. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding.

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Overpayments Overpayment Medicare Medicare 52

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 6 (J6) (Processes HH+H claims).

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding. Reference: [link].

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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. Our team is well versed and updated on billing and coding updates for government and private payers.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 52

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

AIHC

JUNE 6, 2023

Due to the complex nature of accurate coding, charge capture, billing and reimbursement, AI technology holds the potential to transform medical billing. This is certainly an area where advanced technology is needed to reduce overhead, improve compliance and reduce billing errors.

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Compliance Medical Billing HIPAA Due Diligence 59

Medisys Compliance

MARCH 14, 2023

Medicare reimbursement for wound care in SNFs is governed by the Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS). Medisys Data Solutions is a leading medical billing company providing complete billing and coding services for various medical billing specialties.

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Payment Systems Medical Billing Medicare Medicare 52

Medisys Compliance

MARCH 31, 2023

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. License or certification: You may need to provide proof that you are licensed or certified to practice in your field, such as a copy of your nursing license or medical degree.

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AIHC

JUNE 6, 2023

Due to the complex nature of accurate coding, charge capture, billing and reimbursement, AI technology holds the potential to transform medical billing. This is certainly an area where advanced technology is needed to reduce overhead, improve compliance and reduce billing errors.

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Compliance Medical Billing HIPAA Due Diligence 52

Medisys Compliance

JULY 11, 2022

We shared new surprise billing requirements for reference only. The Consolidated Appropriations Act of 2021 established several new requirements to protect consumers from surprise medical bills. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding.

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Medical Billing Medical Billing Outsourcing Health Insurance Medicaid 52

Health Populi

APRIL 12, 2024

Plainly put, we have 20 th Century laws governing 21 st century health care delivery. The shift of inpatient care to what’s known as Hospital-to-Home (or “at-Home”) emerged before the pandemic emergency, during which the government provided incentives for providers to participate in this clinical innovation. has known how to deliver.

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Doctors Licensing Hospitals Governance 77

The Health Law Firm

DECEMBER 2, 2021

Board Certified by The Florida Bar in Health Law On November 2, 2021, the University of Pittsburgh Medical Center (UPMC) urged a Pennsylvania federal court to dismiss allegations that its physician and star surgeon submitted false medical billings. Indest III, J.D.,

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Medical Billing Hospitals Governance 40

HIT Consultant

OCTOBER 16, 2023

This law is good news for patients, with a KFF poll showing that 1 in 3 insured adults between 18 and 64 received an unexpected medical bill in the prior two years. The federal government can fine you up to $100 per individual impacted by those errors while also fining providers up to $10,000 for errors.

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Compliance Governance Medical Billing 105

Medisys Compliance

MAY 30, 2022

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). Defining Physician Certification Statement. Reference: [link].

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