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What Is Medical Billing Compliance?

Compliancy Group

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.

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Data Breaches Reported by WV and CO Healthcare Providers and NJ Medical Billing Administrator

HIPAA Journal

Advanced Medical Practice Management Sends Notification Letters About July 2021 Cyberattack and Data Theft Incident. The New Jersey medical billing administrator, Advanced Medical Practice Management (AMPM), has recently announced it was the victim of a cyberattack that involved the data of several of its healthcare provider clients.

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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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Mental Health Omnibus Bill: A Comprehensive Guide for Providers

Medisys Compliance

Introduction The mental health omnibus bill, recently passed by Congress, marks a significant milestone in improving access to mental healthcare in the United States. Understanding the Bill and its Implications The mental health omnibus bill encompasses a multitude of provisions aimed at bolstering mental health resources and services.

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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. The Consolidated Appropriations Act of 2021 established several new requirements to protect consumers from surprise medical bills. Providing Good Faith Estimate.

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Update on No Surprises Act 2022

AIHC

Starting January 1, 2022, the No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers.

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Medisys: Mental Health Billing and Credentialing Services Provider

Medisys Compliance

About Medisys Data Solutions Medisys Data Solutions is a leading medical billing outsourcing company providing medical coding, billing, revenue cycle management, accounts receivable management, and provider credentialing services.