Medical Billing Regulation

Regulations & Guidance | CMS

https://www.cms.gov/Regulations-and-Guidance/Regulations-and-Guidance

CMS Releases 2024 Advance Notice with Proposed Payment Updates for the Medicare Advantage and Part D Prescription Drug Programs. 2024 Medicare Advantage and Part D Advance Notice Fact Sheet. CMS Issues Final Rule to Protect Medicare, Strengthen Medicare Advantage, and Hold Insurers Accountable.

Overview of rules & fact sheets | CMS

https://www.cms.gov/nosurprises/Policies-and-Resources/Overview-of-rules-fact-sheets

Complaints about medical billing | CMS

https://www.cms.gov/nosurprises/consumers/complaints-about-medical-billing

Policies & Resources Resolving out-of-network payment disputes Complaints about medical billing Complaints about medical billing Starting in 2022, insurance …

Your Billing Responsibilities | CMS

https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/ProviderServices/Your-Billing-Responsibilities

Medicare may pay conditionally for services received for a work-related illness or injury in cases where payment from the state workers’ compensation (WC) insurance is not …

The Most Important Medical Billing Laws - MB-Guide.org

http://www.mb-guide.org/medical-billing-laws.html

Statute and Regulations | CMS

https://www.cms.gov/Medicare/Coding/ICD10/Statute_Regulations

Effective January 3, 2012, the rule allows payers to switch some ICD-10 transition costs from the category of administrative costs to clinical costs, which will help payers …

3.03: The Medical Billing Process

https://www.medicalbillingandcoding.org/billing-process/

These steps include: Registration, establishment of financial responsibility for the visit, patient check-in and check-out, checking for coding and billing compliance, preparing …

Regulations that Affect Coding, Documentation, and …

https://www.aapc.com/blog/32451-regulations-that-affect-coding-documentation-and-payment/

Federal regulations touch almost every aspect of healthcare documentation, coding, and reporting. Recently, the U.S. government has been undertaking regulatory …

Fraud & Abuse Laws - Office of Inspector General

https://oig.hhs.gov/compliance/physician-education/fraud-abuse-laws/

The AKS is a criminal law that prohibits the knowing and willful payment of "remuneration" to induce or reward patient referrals or the generation of business …

5 Important Regulations in United States Healthcare

https://online.maryville.edu/blog/5-important-regulations-in-united-states-healthcare/

Today, federal, state, and local authorities — in addition to various regulatory agencies — establish rules intended to protect the public, promote access to care, and ensure that medical professionals both …