Medicare Billing Specialist, Inc. is a leading provider of home health and hospice billing services. With over 10 years of experience, our expert team of billers has the knowledge and expertise to navigate the complex world of Medicare billing. From complete billing audits to on-time claim submi...
If you go to the nursing home following a hospital stay, nursing homes are often reluctant to continue billing Medicare, because they think Medicare coverage depends on the beneficiary’s restoration potential; but the standard is whetherskilled careis required: Summary. Even if full recovery or m...
Medicare fraud is a widespread problem in the United States and includes improper billing and documentation when ordering home health services. In order to ensure claims are appropriate, physicians should be aware of which patients are eligible for home health services and the associated documentation ...
While retrospective billing practices may aid states in reducing Medicaid outlays and potentially help dual Medicare beneficiaries gain coverage for their home care claims, they increase Medicare expenditures for home care at a time of concern for the long-term financial viability of Medicare and ...
bill for ACP if a patient chooses hospice and the clinician makes the referral. ACP codes have no place-of-service limitations. Successful billing for ACP requires a face-to-face discussion of short-term treatment options and/or long-term goals of care with the patient o...
Healthcare providers we work with Home Health & Hospice Agencies Medical Equipment & Suppliers Doctors & Clinicians Hospitals Pharmacies Rehab Facilities Nursing Homes Therapist Practices MAC Approved List We are an Approved NSV across all 50 states ...
Medicare Part A Billing Cycle Medicare Part A, often referred to as hospital insurance, covers inpatient hospital care, skilled nursing facility care, hospice care, and some home health care services. Understanding the billing cycle for Medicare Part A is essential for beneficiaries to manage their...
"Massachusetts General Hospital has 450 people doing billing," he said. "Toronto General has three people, and one of them works on billing the U.S." (MGH is about double the size of Toronto General Hospital.) For many doctors, Friedman said, "it'll be a wash -- they will get lower...
Roy had "recruiters" finding people to bill for home health services, said U.S. Attorney Sarah Saldana, the top federal prosecutor in Dallas. Some of those alleged patients, when approached by investigators, were found working on their cars and clearly not in need of home health care, she ...
Medicare and Medicaid fraud can be committed by medical professionals, healthcare facilities, patients, and others who pretend to be one of these parties. Medicare or Medicaid fraud can include billing for services that weren't provided, performing unnecessary tests, and receiving benefits when you'...