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Revised billing guidelines for PA/NP billing could require practices to modify how they report split/shared services.
Coding guidelines for allergy testing shared in this article will help in receiving accurate insurance reimbursement while reducing claim denials.
We shared an excerpt from the Medicare claims processing manual to discuss billing guidelines for anesthesia payment at the personally performed rate and calculation of anesthesia time units.
CMS recently issued a rule that proposes to update payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis
Medisys Data Solutions, a leading medical billing company, provides complete assistance to healthcare providers in the Medicare enrollment process.
We are sharing Medicare guidelines for laser-assisted cataract surgery billing from the last updated CMS document as it was, to avoid any confusion about Medicare coverage.
A Medicare audit is not something that should be taken lightly, prepare your practice for a Medicare audit by determining which areas you are already proficient in and which areas may need improvement.
In this article, we shared the observations of OIG where they found that some of the claims were wrongly denied by private Medicare plans.
We shared appropriate & inappropriate use of modifier 59 & XE/XP/XS/XU so that providers can accurately code and bill Medicare.
Bundled payments represent one form of alternative payment models (APMs) that are designed to move toward value-based care by incentivizing providers to advance coordination and efficiency of care while also improving quality and outcomes at lower costs.
Co-opting physicians to regulate Fee-for-Service (FFS) payment is more feasible and simpler to administer than capitation, Diagnosis-Related Groups (DRGs) and pay-for-performance.
Hiring a medical billing agency can, of course, take care of all of your practice medical billing problems.
Medical coders and billers are critical to the healthcare business. By carefully recording patient treatments and procedures they keep doctors and nurses organized and on track. Also they submit bills to insurance agencies, which then pay claims. If biller or coder makes a mistake, it can delay the claims process, cause a loss of revenue and/or potentially affect a patient’s care.
