Medical Billing Regulations

Patient Billing Guidelines | AHA

https://www.aha.org/standardsguidelines/2020-10-15-patient-billing-guidelines

Hospitals’ billing and collection policy should establish the minimum amounts owed that could lead to debt collection or filing of a lawsuit. Hospitals should make multiple attempts to reach and …

Your Billing Responsibilities | CMS

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

Providers must determine if Medicare is the primary or secondary payer; therefore, the beneficiary must be queried about other possible coverage that may be primary to …

Regulations & Guidance | CMS

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

Medicare Fee-for-Service Payment Regulations Review Boards and Administrative Decisions CMS Hearing Officer Medicare Geographic Classification Review Board Office …

Overview of rules & fact sheets | CMS

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

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

On January 16, 2009, the U.S. Department of Health and Human Services (HHS) released the final rule mandating that everyone covered by the Health Insurance Portability and …

No Surprises: Understand your rights against surprise …

https://www.cms.gov/newsroom/fact-sheets/no-surprises-understand-your-rights-against-surprise-medical-bills

Billing & payments Coverage The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they …

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 …

Medical Billing: What Are Patients’ Legal …

https://www.lawtechnologytoday.org/2020/10/medical-billing-what-are-patients-legal-rights/

When you get a medical bill, you do not have to pay it immediately or fully. Instead, you have the right to talk with the hospital or billing office and ask any questions you may have. The first thing …

Regulations that Affect Coding, Documentation, and …

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

Initiated by the Fraud Prevention System (FPS) on June 30, 2011, the government was given the directive to stop, prevent, and identify improper payments …