Medisys Compliance

APRIL 27, 2022

Another goal was to prevent healthcare fraud. The post Tips to Keep Your Practice HIPAA Compliant appeared first on Leading Medical Billing Outsourcing Services Company in the USA. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA.

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Medisys Compliance

NOVEMBER 23, 2023

Duplicate Billing Duplicate billing , the inadvertent billing for the same service multiple times, can result in claim denials and potential fraud investigations. With Medisys as your trusted partner, radiologists can confidently navigate the complexities of radiology billing and achieve their financial goals.

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Medisys Compliance

OCTOBER 20, 2023

As technology advances and healthcare delivery models evolve, several emerging trends are shaping the future of emergency medical specialists billing: Artificial Intelligence (AI): AI-powered tools are being used to enhance coding accuracy, reduce errors, and identify potential fraud.

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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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Medisys Compliance

JULY 8, 2024

Blockchain Technology in Medical Billing Secure and Transparent Transactions Blockchain technology offers a secure and transparent way to handle medical billing transactions. By providing an immutable record of all transactions, blockchain reduces the risk of fraud and enhances trust between providers and payers.

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Medisys Compliance

OCTOBER 31, 2023

Common Billing and Coding Errors Billing and coding errors can lead to claim denials, delayed payments, and potential legal issues. Common mistakes include: Upcoding or Downcoding: Using codes that do not accurately reflect the services provided can lead to fraud allegations.

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Medisys Compliance

AUGUST 21, 2024

Bundling of Services: CMS has expanded the bundling of radiation therapy services, meaning that certain procedures that were previously billed separately are now bundled into a single payment. This change is intended to simplify billing but requires careful attention to ensure compliance.

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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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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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Medisys Compliance

JUNE 23, 2024

This article aims to provide a detailed overview of HIPAA compliance in medical billing, helping healthcare providers understand its importance, requirements, and best practices. Enacted in 1996, HIPAA is a federal law designed to safeguard patient health information (PHI) from fraud and abuse. What is HIPAA?

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Medical Billing HIPAA Compliance US Department of Health and Human Services 45

Medisys Compliance

APRIL 19, 2023

Providers must also comply with the AHCA Provider General Requirements and the Practitioner Services Handbook, which provide specific guidance on billing, documentation, and quality assurance requirements. Providers must also comply with Medicaid program integrity initiatives designed to prevent fraud, waste, and abuse.

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