Medisys Compliance

APRIL 19, 2023

The Medicaid program in Florida provides medical services and assistance to low-income individuals and families. To participate in the Medicaid program, healthcare providers must meet several general requirements set forth by the Agency for Health Care Administration (AHCA).

Medicaid 52

Medicaid Medicaid Medical Billing Outsourcing Licensing 52

Medisys Compliance

MAY 20, 2024

Provider type: Psychiatrists, psychologists, licensed clinical social workers, and licensed professional counselors typically have different reimbursement rates. Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

Medisys Compliance

MAY 23, 2024

Introduction The Centers for Medicare & Medicaid Services (CMS) establish specific billing guidelines for behavioral health services provided to Medicare beneficiaries. This article provides a comprehensive overview of essential information for providers navigating CMS behavioral health billing guidelines.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

Medisys Compliance

APRIL 11, 2024

Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria. Additionally, you must be actively licensed or certified within your state. Familiarizing yourself with current telehealth billing guidelines established by CMS is essential to ensure proper reimbursement.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

NOVEMBER 8, 2023

The provider must adhere to the telehealth regulations and guidelines established by their respective state’s licensing board. Covered Services: Understanding what services are covered is fundamental.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

JULY 10, 2023

It is similar to the 95 modifier and is used to ensure proper billing and reimbursement for telehealth services under Medicare. AJ Modifier – Licensed Clinical Social Worker (LCSW) The AJ modifier is used to identify services provided by a Licensed Clinical Social Worker (LCSW).

Medical Billing Outsourcing 52

Medical Billing Outsourcing Licensing Doctors Medicare 52

Medisys Compliance

JUNE 20, 2022

Section 1861(iii)(3)(D)(i) of the Social Security Act defines a qualified home infusion therapy supplier as a pharmacy, physician, or other provider of services or supplier licensed by the State in which the pharmacy, physician, or provider of services or supplier furnishes items or services.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52