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Understanding when Medicare is a Secondary Payer (MSP)

Medisys Compliance

Defining Medicare Secondary Payer (MSP). Medicare Secondary Payer (MSP) is the term generally used when the Medicare program does not have primary payment responsibility i.e., when another entity has the responsibility for paying before Medicare. When Medicare Pays First. Primary payers must pay a claim first.

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Strategies for Ensuring Radiology Billing Compliance

Medisys Compliance

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.

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Mental Health Omnibus Bill: A Comprehensive Guide for Providers

Medisys Compliance

Understanding the Bill and its Implications The mental health omnibus bill encompasses a multitude of provisions aimed at bolstering mental health resources and services. Mental Health Billing and the Mental Health Omnibus Bill These changes will undoubtedly affect billing practices.

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New Surprise Billing Requirements

Medisys Compliance

The prohibitions on balance billing and cost-sharing protections vary among providers depending on the type of services they furnish and their practice settings. Patient Protection against Balance Billing. These requirements are collectively referred to as “No Surprises” rules. Providing Good Faith Estimate.

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HIPAA Compliance for Behavioral Health Billing

Medisys Compliance

Introduction As a behavioral health provider, protecting your patients’ privacy must be your top priority. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that safeguards the privacy of individuals’ health information, including mental health and substance abuse treatment records.

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Top Compliance Issues In 2023: What You Can Do

Medisys Compliance

Let us discuss the top compliance issues in the medical billing industry, shall we? HIPAA: The Health Insurance Portability and Accountability Act( HIPAA) is a federal law that establishes the national standards for protecting the privacy and security of individuals’ personal health information ( PHI).

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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.