Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. This article serves as a guide to help you avoid billing mistakes for Medicare and ensure smooth claims processing for your Medicare patients. Ensure they have current Medicare coverage and no pending eligibility changes.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Provider Trust

JULY 17, 2023

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. In this post, we recap the key takeaways from the webinar. Still, managed care continues to grow, and the associated dollars increase along with it.

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Provider Trust

JULY 25, 2022

In a recent webinar , ProviderTrust Founder Michael Rosen and Chief Compliance Officer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations. ProviderTrust analyzed the public outpatient Medicare claims data of a large health system. billion in Medicare charges.

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Electronic Medical Records Licensing Medicare Medicare 52

Health Populi

JUNE 18, 2021

Gallup and West Health presented their study in a webinar earlier this week; in today’s post, I feature a few key data points that particularly resonate as I celebrate/appreciate yesterday’s U.S. One in two people in the U.S. Supreme Court’s ruling on the Affordable Care Act (i.e., California v.

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MRO Compliance

NOVEMBER 17, 2021

A PEPPER report summarizes a hospital’s Medicare claims data for diagnosis-related groups (DRGs) and discharges that have been identified as at higher risk for improper payments. To learn more about managing payer integrity audits in an efficient and effective manner, request the playback of the recent webinar here. .

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Healthicity

MARCH 6, 2025

The 60-day rule under the Affordable Care Act is one of the most important compliance regulations for healthcare providers accepting Medicare or Medicaid payments. It requires organizations to identify, report, and return any overpayments within 60 days of discovery.

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HIT Consultant

MARCH 19, 2024

The company is also simplifying the application process for additional funding and has suspended certain requirements for Medicare Advantage plans to ease the burden on providers. Care providers can find more information and apply for assistance at [link]. “We

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MedTrainer

SEPTEMBER 20, 2023

Watch this one-demand webinar for insider tips straight from seasoned compliance surveyors. If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaid health plan, you must comply with HIPAA rules and regulations. What Is the Scope of a CMS Inspection?

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Medicaid Medicaid Medicare Medicare 97

Healthicity

JUNE 23, 2022

As compliance officers, we often focus (and rightfully so) on enforcement efforts.

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Compliance Officers Medicaid Medicaid Medicare 98

Healthcare IT News - Telehealth

JULY 18, 2022

It scaled training through its CE-accredited portal Telehealth Village, though webinars with providers, tip sheets and training videos, and hosted Project ECHO programs across multiple disciplines with community partners.

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COVID-19 Telemedicine Electronic Medical Records Hospitals 199

Healthcare IT Today

JULY 16, 2024

The Centers for Medicare & Medicaid Services (CMS) finalized new standards for electronic prescribing on June 13, concluding a complicated, 18-month regulatory process that came in fits and starts and went by without attracting much industry scrutiny. Register to attend Nick’s webinar on July 18, 2024.

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Hall Render

APRIL 28, 2025

For more information on the 2024 LDT Final Rule, please see Hall Renders previous client alert and accompanying webinar.

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McBrayer Law Blog

FEBRUARY 8, 2022

Posted In Centers for Medicare & Medicaid Services (“CMS”) , COVID-19 , Mandatory vaccination policies More > Tags: Centers for Medicare & Medicaid Services , CMS , COVID-19 , employer mandate , Healthcare Compliance Issues , Healthcare Provider , Healthcare Providers , Mandatory vaccination.

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MedTrainer

JUNE 9, 2022

Over the past two years or so, Centers for Medicare and Medicaid Services (CMS) surveys have been much less frequent in response to the pandemic. Also, check out our recent webinar with surveyor Dr. David Shapiro for his tips and insight on how to be prepared for surveys. Prepare now for a CMS survey to avoid stress and penalties.

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Medisys Compliance

FEBRUARY 10, 2025

To stay current with the changes: Professional Associations: The American Psychiatric Association (APA) and the National Council for Behavioral Health frequently offer webinars, conferences, and training sessions on coding updates. Where Can I Find Training on the 2025 Mental Health CPT Code Updates?

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Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

HIT Consultant

JULY 6, 2022

During the first phase of the pandemic, both patients and providers embraced remote care, prompting an incredible spike in utilization – approximately 63 times pre-pandemic baseline levels among Medicare patients, new CMS data reveals. News and World Report webinar. This is a troubling trend that must be reversed.

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Telemedicine COVID-19 Nurses Public Health 95

Health Populi

MARCH 12, 2020

For example, only health care providers that have an existing relationship with a Medicare patient would be eligible per the requirements in the legislation. Check out this last public health poster about Medicare and COVID-19. That’s Medicare, Australia-style, adopting telehealth in this coronavirus era.

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Health Populi

MAY 16, 2019

Health Populi’s Hot Points: GMDC held a webinar today on self-care , discussing the opportunity for health@retail to support consumers in doing more for themselves to engage in health. Consumers are seeking care outside of the legacy health system given their growing role as payors, GMDC’s consumer research shows.

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Provider Trust

OCTOBER 19, 2023

8, 2023 | 12pm CST Reserve Your Spot With new regulations and a changing payer demographic—marked by health plans entering new contracts such as Medicare Advantage—the demands for credentialing support can quickly outpace an organization’s available resources. Wednesday, Nov. And respondents hope technology can help.

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Fraud Medicare Medicare Licensing 52

Jane Sarashon

FEBRUARY 29, 2024

In a webinar broadcast on 28 February, Prof. Health Populi’s Hot Points: Some of that evidence is being generated right now through the deployment of care at home channeled through Best Buy Health, which Deborah Di Sanzo discussed in the webinar. That’s a strong business model and habit that’s hard to break.

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Hospitals COVID-19 Payment Systems HIPAA 110

Healthcare Law Blog

SEPTEMBER 6, 2023

On September 1, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a long-awaited proposal to establish new federal minimum staffing standards for long-term care facilities. [1] Join us for our webinar “ CMS Proposes Minimum Staffing Requirements for Skilled Nursing Facilities ” on September 27, 2023.

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AIHC

SEPTEMBER 3, 2024

On February 21, 2024 the OIG stated that the first two industry segment-specific CPGs (ICPGs) will address Medicare Advantage and nursing facilities. More recently, on November 6, 2023, the OIG has published a general compliance program guidance (GCPG) with promise to publish industry-sector specific guidances in the near future.

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Hanys

JULY 1, 2022

Medicare home health proposed rule webinar. Antibiotic stewardship update: The CDC perspective. What does it mean to recognize risk? Standing membership call. HANYS' fiscal policy update call. Preventing and responding to aggressive patient behavior, part two.

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Medicare Medicare 40

Hall Render

JANUARY 24, 2024

CMS introduced an updated Medicare Cost Report e-Filing system (“MCReF”) and related templates to allow Medicare Part A providers the ability to electronically file to their Medicare contractor supporting documentation in addition to their cost report for fiscal years ending on or after December 31, 2017.

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Verisys

APRIL 3, 2025

Compliance Penalties Regulatory agencies like the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission enforce strict medical credentialing standards to ensure healthcare providers meet necessary qualifications and maintain patient safety.

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US Department of Health and Human Services Licensing Compliance Malpractice 52

Hanys

JULY 8, 2022

Medicare home health proposed rule webinar. Standing membership call. HANYS' fiscal policy update call. Preventing and responding to aggressive patient behavior, part two. Government relations update call. Healthcare privacy in a digital world. AHEI - How 3 hospitals used patient demographic data to address disparities.

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Medisys Compliance

DECEMBER 12, 2023

In this article, we will explore the most important behavioral health billing updates planned for 2024, focusing on both Medicare and commercial payers. Behavioral Health Billing Updates: For Medicare 1. Get training: Consider attending training sessions or webinars on the new billing updates to ensure you are fully prepared.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Redox

JUNE 30, 2023

Get the details Continuous care New care coordination payment model issued CMS has introduced a Making Care Primary (MCP) model to improve primary care management for Medicare and Medicaid patients. New research from IDC points to the worst offenders, and health system CMIOs weigh in during our “Shortlist Makers” webinar.

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Telemedicine Medicaid Medicaid Medicare 52

Hanys

APRIL 28, 2023

HANYS standing membership call on state and federal issues May 2 Understanding Medicare's post-acute care and inpatient psychiatric facility proposed rules May 2 Healthcare Middle Manager Virtual Training May 3 – 4 Advancing capital, facilities and construction spend management May 9 Government relations update May 12 IPPS payment proposed rule (..)

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Medisys Compliance

JULY 31, 2024

Key considerations include: Medicare: Medicare has established specific coverage criteria for various immunotherapies. Subscribe to industry newsletters, attend relevant webinars, and participate in professional organizations to keep abreast of the latest developments.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

AUGUST 23, 2024

The compliance process involves understanding and following payer-specific guidelines, particularly those set by Medicare. Example: Medicare’s guidelines for oncology coding are detailed and specific. Example: Medicare guidelines often change, particularly regarding how certain treatments like radiation therapy should be coded.

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Medical Billing Outsourcing Compliance Medicare Medicare 59

Medisys Compliance

JULY 9, 2024

This can include workshops, webinars, and continuing education courses. So, stay informed about updates through professional organizations, coding webinars, and continuous education. References: Centers for Medicare & Medicaid Services. Employ certified coders who are knowledgeable in cardiology coding.

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Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Healthicity

MAY 1, 2025

For many healthcare practices, incident-to billing is a common strategy used to increase Medicare reimbursements. It sounds like a smart revenue move. But without a clear understanding of the rules, it can also be a compliance landmine.

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Medisys Compliance

FEBRUARY 29, 2024

Understanding Virtual Care Billing Codes Familiarizing yourself with the specific billing codes assigned by Medicare and private payers is paramount. This article explores into the key considerations for optimizing billing for virtual care in primary care, ensuring you receive proper reimbursement for your services. secure messaging).

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Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

Verisys

DECEMBER 23, 2021

Medicare, Medicaid, and TRICARE: How Enrollment Standards Differ. Provider enrollment in Medicare, Medicaid, TRICARE, and other government health programs all involve a lengthy process, with some variation. The following items are required for enrollment in Medicare: A primary place of service must be in operation.

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MedTrainer

FEBRUARY 5, 2024

Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. Watch this on-demand webinar to get tips to speed up your enrollment process. Watch this on-demand webinar to get tips to speed up your internal credentialing process.

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MedTrainer

MARCH 8, 2024

These financial incentives are from agencies such as the Centers for Medicare and Medicaid Services (CMS) and the Health Resource & Services Administration (HRSA) , who are working to achieve health equity and improve public health. WEBINAR: Maximize Funding Streams Starting With 340B Watch Now What is Value-Based Care?

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