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Recent Changes in Medicare/Medicaid Billing for Behavioral Health

Medisys Compliance

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape. All rights reserved.

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Basics of Provider Enrollment for Ohio Medicaid

Medisys Compliance

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

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General Requirements for Medicaid Providers in Florida

Medisys Compliance

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).

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Navigating Payer Audits and Reimbursement Challenges in Cardiology Billing

Medisys Compliance

Cardiologists and their billing teams often find themselves navigating a maze of regulations while striving to ensure accurate reimbursement for the vital services they provide. This article explores into the details of cardiology billing, offering insights into payer audits and reimbursement challenges in cardiology billing.

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Group Therapy Billing for Behavioral Health Providers

Medisys Compliance

Additional Considerations In-network vs. out-of-network billing: Understand the differences in reimbursement rates, patient responsibility, and billing procedures for in-network and out-of-network claims. Medicare and Medicaid billing: These programs have specific regulations and coding requirements for group therapy billing.

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Strategies for Ensuring Radiology Billing Compliance

Medisys Compliance

Introduction Radiology billing compliance is a critical aspect of managing a successful radiology practice. With a myriad of regulations and the potential for audits looming, radiologists and billing staff need to have a solid understanding of compliance requirements.

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The Impact of MACRA on Cardiology Billing

Medisys Compliance

Introduction The ever-evolving world of healthcare billing can feel complex, and with the introduction of MACRA (Medicare Access and CHIP Reauthorization Act) in 2015, cardiology practices have faced some adjustments. What is MACRA? MACRA replaced the previously used Sustainable Growth Rate (SGR) formula for Medicare physician payments.