Medisys Compliance

NOVEMBER 6, 2023

Compliance with Regulatory Guidelines Ensure that all claims are submitted per all applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Fraud, Waste, and Abuse (FWA) laws. Stay up-to-date on all changes to regulatory requirements.

Compliance 59

Compliance Medical Billing Outsourcing Medical Billing ACA 59

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.

Medical Billing 59

Medical Billing Patient Satisfaction Medical Billing Outsourcing Compliance 59

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. Review modifier usage regularly: Regularly audit modifier usage to identify any inconsistencies or errors and ensure compliance with payer guidelines.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Fraud 59

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medicaid Medicaid 59

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. “What else could be wrong with this chart?”, thinks the auditors.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Fraud Medical Billing Services 52

Medisys Compliance

APRIL 27, 2022

Another goal was to prevent healthcare fraud. As the name suggests, it was created to ensure that all ‘protected health information’ was appropriately secured and restricted access to be given only to authorized individuals. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA.

HIPAA 52

HIPAA Medical Billing Outsourcing Medical Billing Ransomware 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.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Fraud 52

Healthcare IT Today

JUNE 29, 2023

Expert Knowledge of Regulatory Changes ASC billing services providers understand current regulatory changes affecting ASC billing practices. They follow Medicare reimbursement policies, coding and documentation guidelines, HIPAA compliance, fraud, and abuse prevention, prior authorization, and state-specific regulations.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

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.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Patient Satisfaction Fraud 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. One error of this nature can lead to a reviewer casting aspersions on the integrity of your note. But the payers don’t see it that way.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Overpayments Overpayment 52

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.

Medicaid 52

Medicaid Medicaid Medical Billing Outsourcing Licensing 52

Hall Render

APRIL 12, 2024

in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. s health, hospital chief says Raising Ky.’s

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40