Medisys Compliance

JULY 11, 2024

Here’s a comprehensive guide to maximizing reimbursement for wound care services, ensuring financial sustainability while delivering exceptional patient care. Optimizing Documentation for Strong Reimbursement Claims Detailed Wound Assessments: Documenting wound characteristics meticulously is paramount.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Payment Systems Medical Billing Services 59

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

FEBRUARY 9, 2024

Starting in January 2024, home health agencies must bill for dNPWT devices using the dedicated TOB code 032x. This code is separate from the codes used for other wound care services. This update requires home health agencies to adjust their billing processes and documentation to ensure accurate claims for dNPWT devices.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

Medisys Compliance

JULY 19, 2024

Documentation and Compliance With the changes in billing, there is an increased emphasis on accurate documentation and compliance. Documentation and Compliance With the changes in billing, there is an increased emphasis on accurate documentation and compliance.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare IT Today

JUNE 29, 2023

ASCs must stay current on healthcare regulations that affect billing. To avoid penalties, maximize revenue, and accurately document claims, ASCs must understand these changes. Understanding ASCs Regulatory Changes and Their Billing Practices Outpatient surgery centers (ASCs) perform many surgical procedures outside of hospitals.

Compliance 52

Compliance Medicare Medicare Medical Billing 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? We shared basic information on 3-day payment window so when it will be useful while billing outpatients services which later are shifted as inpatients services.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medicare 52