Medisys Compliance

FEBRUARY 16, 2025

Programs like MIPS (Merit-based Incentive Payment System), APMs (Advanced Alternative Payment Models), HEDIS (Healthcare Effectiveness Data and Information Set), and MACRA (Medicare Access and CHIP Reauthorization Act), each with specific metrics and reporting requirements, directly impact billing and reimbursements.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Patient Satisfaction Payment Systems 59

Medisys Compliance

FEBRUARY 9, 2024

Staying informed about new and revised CPT codes is essential for accurate coding and billing of wound care services. Providers should consult the latest CPT manual and coding resources to ensure they are using the correct codes for their services. Feeling overwhelmed by the latest wound care billing updates?

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

Medisys Compliance

AUGUST 4, 2022

Proposed ESRD Payment System. This rule also proposes an update to the Acute Kidney Injury (AKI) dialysis payment rate for renal dialysis services furnished by ESRD facilities for calendar year (CY) 2023.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

Medisys Compliance

APRIL 25, 2024

MACRA replaced the previously used Sustainable Growth Rate (SGR) formula for Medicare physician payments. Advanced Alternative Payment Models (APMs): These models encourage collaboration between providers and offer the potential for higher shared savings if specific quality and cost goals are met.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

JULY 19, 2024

Behavioral health providers must ensure that their documentation supports the services billed and meets Medicare and Medicaid requirements. For those needing assistance navigating these changes, Medisys offers specialized billing services to help behavioral health providers manage their billing efficiently and effectively.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

JULY 11, 2024

Regular Audits and Reviews: Regularly audit your billing practices to identify any coding inconsistencies or missed opportunities. Understanding Reimbursement Models Outpatient Prospective Payment System (OPPS): This model assigns Ambulatory Payment Classifications (APCs) to specific wound care procedures, determining the reimbursement rate.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Payment Systems Medical Billing Services 59

Medisys Compliance

JUNE 16, 2022

Non-diagnostic services include any non-diagnostic service that’s clinically related to the reason for a patient’s inpatient admission, regardless of whether the inpatient and outpatient diagnoses are the same. If the admitting hospital is a Critical Access Hospitals (CAHs), the payment window policy doesn’t apply.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medicare 52