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Recent Changes in Medicare/Medicaid Billing for Behavioral Health

Medisys Compliance

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape. All rights reserved.

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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. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

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General Requirements for Medicaid Providers in Florida

Medisys Compliance

The Medicaid program in Florida provides medical services and assistance to low-income individuals and families. To participate in the Medicaid program, healthcare providers must meet several general requirements set forth by the Agency for Health Care Administration (AHCA).

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Outsourced Primary Care Billing: Maximizing Efficiency

Medisys Compliance

Managing patient billing inquiries and collections. Unlike general medical billing outsourcing, primary care billing requires a focus on routine services such as evaluation and management (E/M) codes, preventive care, vaccinations, and chronic care management.

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Navigating Payer Audits and Reimbursement Challenges in Cardiology Billing

Medisys Compliance

By partnering with Medisys, primary care practices can streamline their billing processes, enhance financial performance, and focus on delivering exceptional patient care. The post Navigating Payer Audits and Reimbursement Challenges in Cardiology Billing appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

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Revised Medicare Guidelines for Lung Cancer Screening Using LDCT

Medisys Compliance

The Centers for Medicare and Medicaid Services (CMS) has announced a shift in its eligibility criteria for coverage of lung cancer screening using low-dose CT (LDCT), with implementation date of October 3 rd , 2022. CMS Announcement for Revised Coverage. MLN Document: Screening for Lung Cancer with Low Dose Computed Tomography (LDCT).

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Strategies for Ensuring Radiology Billing Compliance

Medisys Compliance

Key regulations include the Health Insurance Portability and Accountability Act (HIPAA), the Stark Law, the Anti-Kickback Statute, and regulations set forth by the Centers for Medicare & Medicaid Services (CMS) and private payers. Documentation Requirements Accurate and thorough documentation is essential for radiology billing compliance.