Medisys Compliance

APRIL 11, 2024

Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose. Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria. The next step involves enrolling as a Medicare provider.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

The Health Law Firm Blog

SEPTEMBER 5, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

The Health Law Firm Blog

OCTOBER 18, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Licensing Doctors Nurses 52

Medisys Compliance

FEBRUARY 7, 2022

Medicare pays a physician for an Annual Wellness Visit (AWV) service. This visit is planned to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA) which is covered once every 12 months by Medicare. Medicare also waives the AWV coinsurance or co-payment and the Medicare Part B deductible.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

The Health Law Firm Blog

SEPTEMBER 26, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

Medisys Compliance

JANUARY 20, 2022

The Centers for Medicare & Medicaid Services (CMS) recognizes that CCM services are critical components of primary care that promote better health and reduce overall health care costs. Billing Guidelines for Medicare Chronic Care Management. practitioner must obtain patient consent before furnishing or billing CCM.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

NOVEMBER 21, 2023

Accurate and timely billing is a fundamental aspect of financial success for Skilled Nursing Facilities (SNFs), particularly when it comes to optimizing SNF billing. In this guide, we will explore into essential SNF billing tips to help you optimize your billing processes and navigate the complexities of reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

MARCH 14, 2023

Wound care is provided in various healthcare settings like inpatient hospital, outpatient clinics, long-term care facilities, home health settings, hospice and skilled nursing facilities. 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

JULY 18, 2022

In the Balanced Budget Act of 1997, Congress mandated that payment for the majority of services provided to beneficiaries in a Medicare covered SNF stay be included in a bundled prospective payment made through the Part A Medicare Administrative Contractor (MAC) to the SNF. This practice created several problems. To summarize.

Medical Billing 52

Medical Billing Medicare Medicare Medical Billing Outsourcing 52

Medisys Compliance

DECEMBER 29, 2022

This can be swiftly done with medical billing outsourcing services. From doctors, nurses, and other clinicians to the medical billing and coding team and front office workers, everyone has a job to do. The post How To Reduce AR Days With Oncology Billing? Clean claims will result in faster reimbursements.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

MAY 30, 2022

These regulations are the basis for Medicare guidelines. There is no specific Medicare-approved form for PCS. Regardless of the form you choose to use, the information on the form must comply with Medicare guidelines. Note: Medicare requires that services provided/ordered be authenticated by the author.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Healthcare IT News - Telehealth

JANUARY 4, 2021

"I am proud to sign this legislation which promotes telehealth services that have become vital during this pandemic, expands access to high-quality, affordable care, takes steps to protect consumers from surprise medical bills, and preserves access to COVID-19 testing and treatment," said Baker in a statement. WHY IT MATTERS.

COVID-19 146

COVID-19 Medical Billing Health Care Access Nurses 146

Medisys Compliance

APRIL 14, 2022

The Advance Beneficiary Notice of Noncoverage (ABN) i.e., form CMS-R-131, is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to Original Medicare (fee for service – FFS) beneficiaries in situations where Medicare payment is expected to be denied.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

FEBRUARY 20, 2022

Note that, incident-to services are only applicable to Medicare. Incident-to services are only applicable for charges billed to a Medicare contractor. You will have to verify with each private insurance carrier on how to bill for services performed by an NPP. Billing Requirements for ‘Incident-to’ Services.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

FEBRUARY 5, 2024

Unlike traditional physician billing or facility billing, ASC billing involves a blend of both. The facility fee covers the use of the ASC’s resources, including the operating room, equipment, and nursing staff. The Crucial Role of PCPs in ASCs PCPs play a crucial role in the ASC ecosystem.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

MARCH 8, 2023

Need of Internal Audit in Wound Care Medical billing and coding audits are an essential part of the revenue cycle management process for any healthcare provider, including those who specialize in wound care. Auditors should ensure that billing practices are in compliance with these rules and regulations.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Compliance Medicare 52

Medisys Compliance

MARCH 10, 2022

This information includes details such as disease-specific care plans, adjustments in medication regimens ongoing communication with specialists and more. The biggest reason for recoupment is that diagnoses for which CCM is performed don’t meet billing criteria or Medicare program integrity rules; and it may be true for PCM.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

AUGUST 12, 2022

CMS recently introduced guideline changes to its Medicare reporting rules that impact physician assistant (PA) and nurse practitioner (NP) billing. Let’s understand revised billing guidelines for physician assistant (PA) and nurse practitioner (NP) billing. Revised Billing Guidelines for PA/ NP Billing.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medicare Medicare Nurses 52

Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ million expansion ‘Very, very unusual.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Medisys Compliance

JULY 25, 2023

Minor visits, such as blood pressure checks or weight checks, can be conducted by a nurse or medical assistant without the patient seeing the physician. In such cases, the established office visit code 99211 may be billed as long as there is an element of evaluation and management, such as counseling or discussion of medication.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Nurses Compliance 52

Jane Sarashon

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. Patients and health plan members continue evolving into medical bill payers, with their homes and budgets baked into the concept.

US Department of Health and Human Services 70

US Department of Health and Human Services Health Insurance Medicare Medicare 70

Medisys Compliance

MARCH 31, 2023

License or certification: You may need to provide proof that you are licensed or certified to practice in your field, such as a copy of your nursing license or medical degree. We can assist you in getting enrolled for Medicare, Medicaid and all major commercial insurance companies in your area.

Medicaid 52

Medicaid Medicaid Licensing Medical Billing Outsourcing 52

Medisys Compliance

APRIL 11, 2022

Complete documentation will support all procedure codes your billed and will provide complete picture for payers. In this article, we shared list of required documents for ambulatory surgery centers who are beneficiaries of Medicare. Pre-operative medical record documentation. Nurses’ notes. Informed consent.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Informed Consent Nurses 52

Medisys Compliance

MARCH 16, 2022

Also, make sure your staff is well aware of this system and medical billing process flow. The quickest way to boost cash flow is to cut costs, but for medical practices, most costs are usually salaries. Medisys Data Solutions is a leading medical billing company providing complete medical billing services for your practice.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Nurses 52

Medisys Compliance

MARCH 10, 2024

To learn more about our wound care billing services, contact us at 888-720-8884 / info@medisysdata.com References: National Association for Home Care & Hospice (NAHC) Official Website Wound Ostomy and Continence Nurses Society (WOCN) Official Website The post Navigating the Complexities of Wound Care Billing in 2024 appeared first on Leading Medical (..)

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Nurses 59

Hall Render

APRIL 19, 2024

to Study Treatments for Vascular Abnormalities Federal Appeals Court Hears Arguments on Nation’s First Ban on Gender-affirming Care for Minors Jason Demke Hired as COO at Mercy Hospital Fort Smit Pulaski Tech Awarded $5.7M hospital cost review board a bandage for rising costs?

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Healthcare IT Today

AUGUST 6, 2023

Partnerships Fintech company Cedar is working with Google Cloud to build AI-powered tools to hep patients understand medical bills. Wolters Kluwer and Unbound Medicine released a mobile app that digitizes Lippincott’s Nursing Drug Handbook. Chatbot maker Mediktor named John Wray as Chairman of the Board of Directors.

Hospitals 83

Hospitals Nurses Medical Billing Ransomware 83

MedTrainer

FEBRUARY 20, 2024

Insurance credentialing is the process where a healthcare organization registers a healthcare professional through specific insurance networks or government payers , like Medicare or Medicaid, to receive reimbursement for services rendered during a patient’s visit. What is Insurance Credentialing?

Licensing 52

Licensing Medical Billing Compliance Medicaid 52

Medisys Compliance

MARCH 27, 2023

Defining Provider Credentialing Provider credentialing in healthcare refers to the process of verifying and evaluating the qualifications, credentials, and background of healthcare providers, such as physicians, nurses, and other allied healthcare professionals, before allowing them to provide care to patients.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

Healthcare Law Blog

NOVEMBER 9, 2023

OIG anticipates publishing the first ICPGs to address Medicare Advantage and nursing facilities in 2024. [3] Department of Health and Human Services, Office of Inspector General, General Compliance Program Guidance, November 2023, [link]. [4]

Compliance 52

Compliance Compliance Officers Fraud Medicare 52

Med Law Blog

MAY 1, 2023

We saw that issue up close last year as the committee considered the role of PE firms in the increase of patients receiving surprise medical bills.” Howell, Constantine Yannelis and Abhinav Gupta positing that their research shows that “PE ownership increases short term mortality of Medicare patients by 10%, in nursing homes”.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

Kaiser Health News

MARCH 3, 2022

President Joe Biden’s top Medicare official suggested Wednesday that forthcoming rules to bolster nursing home staffing won’t be issued under a mechanism, known as interim final rules, that would allow regulations to take effect more or less immediately. 30, amounting to at least 23% of all U.S. ” .

Nursing Homes 82

Nursing Homes Nurses Medicare Medicare 82

Hall Render

APRIL 22, 2022

. $1B joint venture sets sights on ASCs, medical office buildings. CMS revises surprise-billing arbitration process. GAO investigating private equity ownership of nursing homes. This nursing home chain reported the highest COVID death rate. San Francisco’s Laguna Honda Hospital Loses Medicaid, Medicare Funding.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Health Populi

JANUARY 18, 2019

in fact devotes fewer hospital beds, physicians and nurses to health care delivery compared with other countries. On the positive side of transparency, the Centers for Medicare and Medicaid Services mandated that health care providers must post prices online, the requirement discussed here on CMS’s website.

Prescription Drug Pricing 64

Prescription Drug Pricing Health Insurance Doctors Medicare 64

Medisys Compliance

AUGUST 4, 2022

The Centers for Medicare & Medicaid Services (CMS) on June 21, 2022, issued a proposed rule that proposes to update payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare beneficiaries on or after January 1, 2023.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

Medisys Compliance

FEBRUARY 26, 2024

Key Strategies for Success Mastering the bundled payments and episode based billing in cardiology care requires implementing the following strategies: Care Pathway Standardization: Develop standardized care pathways and protocols for common cardiac procedures and conditions to streamline care delivery and optimize resource utilization.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Patient Satisfaction Medicaid 59

AIHC

NOVEMBER 3, 2021

How would you feel if you knew your doctor shared his/her password to your personal medical records with an unauthorized user? What if someone in medical billing shared his/her password to your account (containing your medical and financial identity) with someone not authorized to access your information?

HIPAA 52

HIPAA Compliance Electronic Medical Records Governance 52