Medisys Compliance

AUGUST 21, 2024

In 2024, the Centers for Medicare & Medicaid Services (CMS) introduced several crucial updates to radiation oncology billing guidelines. These changes affect coding, reimbursement, and compliance requirements, making it essential for providers to stay informed to maximize reimbursement and avoid penalties.

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Medical Billing Outsourcing Compliance Medicaid Medicaid 59

Medisys Compliance

JANUARY 17, 2023

Maintaining compliance with the ongoing regulatory changes and payer-specific adjudication rules or payment processing criteria is challenging, if not downright impossible. Your outsourcing company should adhere to various laws, medical regulations, and recommendations in addition to HIPPA. Recognition.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 52

Medisys Compliance

OCTOBER 20, 2023

Detailed medical records provide the necessary support for justifying the level of care and ensuring appropriate reimbursement. Regular Compliance Audits: Conducting regular audits to assess coding accuracy and compliance with payer regulations helps identify and rectify potential billing errors before they lead to denials or penalties.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Telemedicine 59

Medisys Compliance

OCTOBER 31, 2023

Payment and Denials: Payers review claims for accuracy and compliance with their guidelines. Common Billing and Coding Errors Billing and coding errors can lead to claim denials, delayed payments, and potential legal issues. Unbundling: Separating services that should be billed together can result in claim denials.

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Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

APRIL 27, 2022

Another goal was to prevent healthcare fraud. A different argument is that HIPAA compliance builds trust, which gives patients the confidence to reveal details about their health to healthcare professionals, which improves the delivery of healthcare. Your RCM team must be trained properly on ways how to process, transfer the data.

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HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52

Medisys Compliance

NOVEMBER 23, 2023

Review modifier usage regularly: Regularly audit modifier usage to identify any inconsistencies or errors and ensure compliance with payer guidelines. Duplicate Billing Duplicate billing , the inadvertent billing for the same service multiple times, can result in claim denials and potential fraud investigations.

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Medical Billing Outsourcing Medical Billing Compliance Fraud 59

Medisys Compliance

FEBRUARY 27, 2023

Challenges of Wound Care Billing Wound care billing can be a complex and challenging process due to several factors including, coding complexity, documentation requirements, reimbursement limitations, billing multiple payers, and risk of fraud & abuse billing.

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Medical Billing Medical Billing Outsourcing Patient Satisfaction Fraud 52

Medisys Compliance

APRIL 29, 2022

Truth be told, these are usually just innocuous mistakes that do not represent any intent to commit billing fraud but the auditors don’t see it that way. To know more about our medical billing and coding services, contact us at info@medisysdata.com/ 302-261-9187. “What else could be wrong with this chart?”,

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Medical Billing Medical Billing Outsourcing Fraud Medical Billing Services 52

Medisys Compliance

JULY 13, 2022

We observed wrong procedures like incorrect use of modifiers, upcoding, incomplete documentation, and lack of medical necessity. Such wrong billing practices could be considered as fraud billing and might attract external payer audit also.

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Medical Billing Medical Billing Outsourcing COVID-19 Fraud 52

Medisys Compliance

APRIL 19, 2023

These requirements include licensure and accreditation, enrollment in Medicaid, compliance with state and federal regulations, participation in quality assurance activities, and maintenance of accurate records of services provided. Providers must cooperate with these initiatives and provide complete and accurate information when requested.

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Medicaid Medicaid Medical Billing Outsourcing Licensing 52

Medisys Compliance

MARCH 7, 2022

These are usually just innocuous mistakes that do not represent any intent to commit billing fraud. signing off on your notes or if you’re trying to pad the record with billing elements. To know more about our medical billing and coding services, contact us at info@medisysdata.com/ 302-261-9187.

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