Medisys Compliance

APRIL 22, 2024

Introduction Urology practices face unique challenges in medical billing due to the intricate nature of procedures and specific coding requirements. Understanding Urology Billing The core principles of medical billing remain the same for urology.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 8, 2024

Introduction In the complex world of healthcare administration, optimizing medical billing processes is crucial for ensuring prompt payments and financial stability. Understanding the Importance of Medical Billing Medical billing serves as the backbone of revenue generation for healthcare practices.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Healthcare IT News - Telehealth

JANUARY 4, 2021

"I am proud to sign this legislation which promotes telehealth services that have become vital during this pandemic, expands access to high-quality, affordable care, takes steps to protect consumers from surprise medical bills, and preserves access to COVID-19 testing and treatment," said Baker in a statement. WHY IT MATTERS.

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COVID-19 Medical Billing Nurses Health Care Access 159

Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Nearly three in four (72%) patients say affordability is the biggest challenge to paying larger healthcare bills , according to a survey from Cedar.

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Medical Billing Department of Veterans Affairs Medicare Medicare 100

Medisys Compliance

OCTOBER 27, 2023

Introduction In the complex world of healthcare in the United States, small medical practices often face the challenge of managing their medical billing effectively. The term ‘medical billing for small practices’ encompasses a wide array of topics that are crucial for these healthcare providers.

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Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

MARCH 29, 2022

While following mentioned write-offs represent inefficiencies in your medical billing operations. Every payer has a deadline for submitting charges, sometimes your billing team misses some charges. Medicare requires that claims be filed no later than 12 months after the date of service to be paid.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Compliancy Group

FEBRUARY 12, 2024

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

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Fraud Medicare Medicare US Department of Health and Human Services 52

Medisys Compliance

JULY 26, 2022

Hospital administrators, physicians, and members of every healthcare office billing department know that if their practice or hospital provides services to Medicare patients, they must be prepared to potentially receive a request for an audit. Prepare for a Medicare Audit. Responding to an Audit Request.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. While accurate billing ensures fair reimbursement and uninterrupted patient care, billing mistakes can have significant consequences, leading to financial losses, claim denials, and even penalties.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

AUGUST 1, 2023

Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care.

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Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

AUGUST 1, 2023

Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care.

Medical Billing Services 52

Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

NOVEMBER 1, 2023

Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry. Common errors of charge entry in medical billing Incorrect coding is a prevalent error in charge entry.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. In 2024, several significant updates have been introduced that directly impact the billing processes for internal medicine.

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Medicare Medicare Medical Billing Outsourcing COVID-19 59

Medisys Compliance

MAY 19, 2022

The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located.

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COVID-19 Medicare Medicare Medical Billing 52

Medisys Compliance

MAY 5, 2022

On 22 nd April 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare enrollment and eligibility rules that would expand coverage for people with Medicare and advance health equity. Sections 120 and 402 of the CAA made two key changes to Medicare enrollment rules.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

MARCH 31, 2023

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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Medicaid Medicaid Licensing Medical Billing Outsourcing 52

Medisys Compliance

JUNE 30, 2022

Medicare Coverage for MNT. The Social Security Act authorizes Medicare Part B coverage of Medical Nutrition Therapy services (MNT) for certain beneficiaries who have diabetes or a renal disease. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

FEBRUARY 20, 2023

Healthcare providers often get confused about the appropriate use of modifiers GA, GX, GY, and GZ while billing Medicare. GA modifier indicates that an Advance Beneficiary Notice (ABN) is on file and allows the provider to bill the patient if not covered by Medicare. Medicare does not pay for all health care costs.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

The Health Law Firm Blog

JANUARY 12, 2024

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.]

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

Medisys Compliance

JULY 29, 2022

We are sharing Medicare guidelines for laser-assisted cataract surgery billing from a last updated CMS document. We shared this document as it was published, to avoid any error while billing for laser-assisted cataract surgery. Medicare Policy Regarding Non-Covered Services.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

JUNE 20, 2022

Under Fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. Medicare Coverage. Only a qualified home infusion therapy supplier can bill for services under the new home infusion therapy services benefit.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

APRIL 25, 2024

Introduction The ever-evolving world of healthcare billing can feel complex, and with the introduction of MACRA (Medicare Access and CHIP Reauthorization Act) in 2015, cardiology practices have faced some adjustments. MACRA replaced the previously used Sustainable Growth Rate (SGR) formula for Medicare physician payments.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

MARCH 5, 2024

Understanding the Landscape of Cardiology Billing Cardiology billing encompasses a wide range of services, including diagnostic testing, interventional procedures, and ongoing patient care.

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Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

APRIL 19, 2023

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).

Medicaid 52

Medicaid Medicaid Medical Billing Outsourcing Licensing 52

Medisys Compliance

JUNE 16, 2023

G0108 is a Medicare code used for the initial preventive physical examination, also known as the IPPE or “Welcome to Medicare” visit. If you are a healthcare provider or a medical biller, understanding the billing frequency for G0108 is crucial to ensure proper reimbursement and optimal utilization of this service.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 52

The Health Law Firm Blog

NOVEMBER 30, 2023

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.]

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

The Health Law Firm Blog

SEPTEMBER 5, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

The Health Law Firm Blog

OCTOBER 18, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

Medisys Compliance

APRIL 11, 2024

Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose. Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria. The next step involves enrolling as a Medicare provider.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

MAY 20, 2024

Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures. Payer Websites: Insurance companies and government agencies (Medicare, Medicaid) often publish reimbursement rates on their websites.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

The Health Law Firm Blog

DECEMBER 21, 2023

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.]

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

The Health Law Firm Blog

SEPTEMBER 26, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

Medisys Compliance

DECEMBER 19, 2024

Podiatrists provide essential care for foot and ankle conditions, but the complexities of podiatry billing often create administrative burdens. From managing CPT codes for procedures like nail debridement and wound care to ensuring compliance with Medicares podiatry-specific guidelines, the billing process can be confusing.

Medical Billing Outsourcing 66

Medical Billing Outsourcing Medicare Medicare Compliance 66

Medisys Compliance

JANUARY 20, 2022

The Centers for Medicare & Medicaid Services (CMS) recognizes that CCM services are critical components of primary care that promote better health and reduce overall health care costs. Billing Guidelines for Medicare Chronic Care Management. practitioner must obtain patient consent before furnishing or billing CCM.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

DECEMBER 18, 2024

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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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Kaiser Health News

APRIL 16, 2024

Such private sector platforms, which must be approved by the Centers for Medicare & Medicaid Services, streamline enrollment by integrating with the federal ACA marketplace, called healthcare.gov. She ended up with a higher-deductible plan along with medical bills for her now-uninsured son, the lawsuit alleges.

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ACA Health Insurance Governance Medical Billing 141

Medisys Compliance

MAY 23, 2024

Introduction The Centers for Medicare & Medicaid Services (CMS) establish specific billing guidelines for behavioral health services provided to Medicare beneficiaries. This article provides a comprehensive overview of essential information for providers navigating CMS behavioral health billing guidelines.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59