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

MARCH 14, 2023

Wound Care Reimbursements in Various Healthcare Settings Inpatient Hospital Wound care in an inpatient hospital setting is reimbursed through the Diagnosis-Related Group (DRG) payment system. The MPFS is a payment system that reimburses healthcare providers for services rendered to Medicare patients in an outpatient setting.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

Medisys Compliance

APRIL 11, 2024

However, it’s important to note that MFT and MHC services furnished to residents of skilled nursing facilities (SNFs) remain subject to consolidated billing under the SNF prospective payment system (PPS). Our team of certified coders can ensure accurate coding for your services, maximizing your reimbursements.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

JUNE 20, 2022

If a patient receiving home infusion therapy is also under a home health plan of care and receives a visit that is unrelated to the administration of the home infusion drug, then payment for the home health visit would be covered under the Home Health Prospective Payment System (HH PPS) and billed on the home health claim.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

APRIL 18, 2022

We shared basics of Alternative Payment Models (APMs) for reference purpose only, for detailed understanding you visit CMS website mentioned below. Medisys Data Solutions is a leading medical billing company providing billing and coding services for various medical billing specialities. APMs Overview.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

Medisys Compliance

JUNE 16, 2022

If the admitting hospital is a Critical Access Hospitals (CAHs), the payment window policy doesn’t apply. When would the 3-Day (or 1-Day) payment window not apply? Medisys Data Solutions is a leading medical billing company providing assistance in medical billing and coding functions for various medical specialities.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medicare 52

Healthcare IT Today

JUNE 29, 2023

Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008. Visit the Medicare payment resources page on the ASCA website to learn about the changes that CMS has made to the payment system and ensure that your ASC is paid appropriately.

Compliance 52

Compliance Medicare Medicare Medical Billing 52