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SNF Billing Compliance Made Simple

Medisys Compliance

Skilled Nursing Facility (SNF) billing compliance is a critical aspect of healthcare revenue cycle management, ensuring accurate reimbursement and adherence to Medicare regulations. As healthcare providers navigate the complexities of SNF billing, maintaining compliance is essential to avoid penalties, denials, and financial losses.

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Requirement of Physician Certification Statement for Ambulance Services

Medisys Compliance

The Physician Certification Statement (PCS) is the written order certifying the medical necessity of non-emergency ambulance transports. The regulations governing PCS requirements are specified in the Code of Federal Regulations at 42 CFR 410.40(d). Nurse practitioner (NP). Registered nurse (RN). Reference: [link].

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Billing Behavioral Health Services: A Comprehensive Guide

Medisys Compliance

Advanced Practice Registered Nurses (APRNs) with a focus on mental health: APRNs, including nurse practitioners and clinical nurse specialists with a psychiatric specialization, can diagnose and treat mental health conditions, often with prescriptive authority.

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Brief about Wound Care Reimbursements in Various Healthcare Settings

Medisys Compliance

Wound care is provided in various healthcare settings like inpatient hospital, outpatient clinics, long-term care facilities, home health settings, hospice and skilled nursing facilities. Skilled Nursing Facilities (SNFs) Medicare is the primary payer for wound care services provided in skilled nursing facilities (SNFs).

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What is Provider Credentialing in Healthcare?

Medisys Compliance

Defining Provider Credentialing Provider credentialing in healthcare refers to the process of verifying and evaluating the qualifications, credentials, and background of healthcare providers, such as physicians, nurses, and other allied healthcare professionals, before allowing them to provide care to patients.

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Understanding SNF Consolidated Billing (CB)

Medisys Compliance

Physician assistants working under a physician’s supervision; Nurse practitioners and clinical nurse specialists working in collaboration with a physician; Certified nurse-midwives; Qualified psychologists; Certified registered nurse anesthetists; Services described in Section 1861(s)(2)(F) of the Social Security Act (i.e.,

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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. License or certification: You may need to provide proof that you are licensed or certified to practice in your field, such as a copy of your nursing license or medical degree.