Medisys Compliance

MAY 22, 2024

Introduction For mental health therapists, navigating the challenges of medical billing and coding can feel overwhelming. However proper billing practices are essential to ensure you receive timely reimbursement for your services and remain compliant with insurance regulations.

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Medisys Compliance

JANUARY 23, 2025

As we step into 2025, mental health providers must stay informed about evolving telehealth billing regulations to ensure compliance and optimize reimbursement. Service delivery mode (e.g., Compliance with coding and documentation requirements. However, reimbursement rates may vary based on: Provider type (e.g.,

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Medisys Compliance

DECEMBER 30, 2024

While its therapeutic benefits are well-recognized, the process of billing for CBT can be complex and often confusing for mental and behavioral health providers. This article serves as a detailed guide for providers, addressing key aspects of CBT billing to ensure compliance, accuracy, and maximize reimbursement.

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Medisys Compliance

JANUARY 16, 2025

Temporary Telehealth Flexibilities: During the COVID-19 Public Health Emergency (PHE), CMS allowed expanded telehealth coverage for behavioral health services. While some flexibilities have been made permanent, providers should stay updated on the latest CMS guidelines to ensure compliance. All rights reserved.

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Medisys Compliance

MARCH 9, 2025

While the guidelines can seem complex, by focusing on the key areas outlined in this guide – understanding covered services, eligible providers, accurate coding, and diligent adherence to CMS guidelines – you can confidently navigate the Medicare billing process. It is not intended as legal or billing advice.

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Medisys Compliance

FEBRUARY 19, 2025

Revenue Cycle Management (RCM) is essential for behavioral health providers, ensuring consistent cash flow, reducing claim denials, and maintaining compliance. However, theoretical discussions on RCM often fail to address the practical steps needed to incorporate it into daily billing workflows.

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Medisys Compliance

FEBRUARY 27, 2024

Introduction Radiology billing compliance is a critical aspect of managing a successful radiology practice. With a myriad of regulations and the potential for audits looming, radiologists and billing staff need to have a solid understanding of compliance requirements.

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Medisys Compliance

NOVEMBER 19, 2024

From technical complexities in coding to the need for precise documentation and frequent prior authorizations, radiology billing demands accuracy and attention to detail. Denial management in radiology billing, therefore, plays a crucial role in maintaining revenue streams for radiology practices and ensuring efficient operations.

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Medisys Compliance

MARCH 24, 2025

However, while patient volumes are often high, urgent care billing presents unique challenges that can impact profitability. From mastering CPT codes to understanding payer-specific rules, efficient billing is crucial for sustaining a healthy revenue cycle. Contact us today to streamline your billing process and boost profitability!

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

JANUARY 29, 2025

This article will explore how outsourcing cardiology billing for Medicare and Medicaid can streamline your operations, boost revenue, and free you to focus on delivering exceptional cardiac care. Improved Compliance: Outsourcing companies stay current with regulatory changes, reducing the risk of audits and penalties.

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Medisys Compliance

MARCH 5, 2024

Cardiologists and their billing teams often find themselves navigating a maze of regulations while striving to ensure accurate reimbursement for the vital services they provide. This article explores into the details of cardiology billing, offering insights into payer audits and reimbursement challenges in cardiology billing.

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Medisys Compliance

FEBRUARY 16, 2025

This transition is reshaping medical billing, placing a greater emphasis on patient outcomes rather than service volume. As providers navigate this new landscape, understanding the implications of VBC on medical billing is crucial to ensuring compliance, efficiency, and financial stability.

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Medisys Compliance

FEBRUARY 19, 2025

These cuts, impacting a range of imaging services, are poised to significantly affect practice revenue and necessitate strategic adjustments to maintain financial stability and patient access. Now, in February 2025, these proposed rules are our current reality.

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Medisys Compliance

FEBRUARY 24, 2025

This is fundamental information for group therapy billing. This validates the session duration and ensures compliance with any payer-specific time requirements associated with 90853 for accurate group therapy billing. Billing for group therapy within physical therapy follows a distinctly different process.

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Healthcare IT Today

JUNE 29, 2023

The following is a guest article by Isaac Smith, Billing, Coding, and Reimbursement Specialist at Medcare MSO ASCs are types of medical facilities that are subject to stringent regulations. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance.

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Medisys Compliance

JUNE 14, 2023

In this article, we will explore the key medical billing challenges in Alabama and discuss strategies to overcome them effectively. Medical Billing Challenges in Alabama 1. Regulatory Compliance Another significant challenge in medical billing is ensuring compliance with the complex web of healthcare regulations.

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Medisys Compliance

FEBRUARY 20, 2025

This article offers practical strategies to streamline co-pay collection at the time of service. Why is Collecting Co-Pays at the Time of Service Crucial? Collecting patient co-pays upfront is not just about adhering to policy; it’s fundamental to the financial stability of your practice.

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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. Providers must understand these guidelines to ensure accurate claims submission, maximize reimbursement, and maintain compliance.

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Medisys Compliance

OCTOBER 20, 2023

However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations. Detailed medical records provide the necessary support for justifying the level of care and ensuring appropriate reimbursement.

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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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Medisys Compliance

MAY 4, 2023

Streamlining oncology medical billing can help improve revenue cycle management (RCM) and reduce errors, denials, and revenue leakage. However, medical billing in oncology can be complex and challenging, with a range of codes, regulations, and insurance requirements to navigate.

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Medisys Compliance

AUGUST 1, 2024

Accurate and compliant group therapy billing requires a comprehensive understanding of patient eligibility, group composition, session structure, provider qualifications, and meticulous documentation. Familiarizing oneself with the billing methodologies of different payers is essential to ensure compliance and accurate claim submission.

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Medisys Compliance

JULY 23, 2024

Introduction Radiation oncology billing is a complex and evolving field that requires specialized knowledge to ensure accurate reimbursement and compliance with regulatory standards. As we move into 2024, providers need to be aware of several important updates and changes in radiation oncology billing.

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Medisys Compliance

MAY 17, 2024

By implementing the tips outlined above, mental health practices can ensure they receive fair compensation for the vital services they provide, ultimately allowing them to focus on delivering quality care to their patients.

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Medisys Compliance

JANUARY 17, 2023

If you’ve ever questioned about outsourcing your medical billing, this article will go through all the benefits it offers you in terms of operations, and all the reasons to outsource medical billing. The level of difficulty increases significantly if your locations are spread across several states.

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Medisys Compliance

JULY 5, 2024

This is where a medical billing company can be a valuable partner. By outsourcing your billing processes, you can enjoy numerous benefits that enhance your practice’s efficiency and profitability. In this article, we will explore the key advantages of using a medical billing company.

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Medisys Compliance

MAY 20, 2024

Introduction Providing quality mental health services is crucial, but ensuring those services are financially sustainable is equally important. This article dives into the world of mental health services reimbursement rates, empowering providers with knowledge to navigate this complex system. What are Reimbursement Rates?

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Medisys Compliance

JULY 17, 2024

Introduction In the ever-evolving field of oncology, staying abreast of the latest coding guidelines is crucial for accurate billing and reimbursement. This article explores into the new coding guidelines for chemotherapy administration, a cornerstone procedure in oncology. Key Changes in Coding Guidelines 1.

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Medisys Compliance

AUGUST 21, 2024

In 2024, the Centers for Medicare & Medicaid Services (CMS) introduced several crucial updates to radiation oncology billing guidelines. These changes affect coding, reimbursement, and compliance requirements, making it essential for providers to stay informed to maximize reimbursement and avoid penalties.

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Medisys Compliance

APRIL 26, 2024

However, navigating the details of outpatient billing for primary care can be a challenge. This article serves as a comprehensive guide for both primary care professionals and medical billers, providing a clear picture of the process and ensuring accurate and efficient claim submissions.

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Medisys Compliance

JANUARY 7, 2025

Staying informed about these changes is crucial for ensuring compliance, optimizing reimbursements, and providing uninterrupted care to patients. This article talk about the key updates in mental health billing for 2025, including ICD-10-CM and CPT code revisions, telehealth billing changes, and compliance with updated regulations.

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Medisys Compliance

AUGUST 23, 2024

This article provides an in-depth exploration of the rules, guidelines, and best practices that every oncology coder needs to know. Understanding Oncology Coding Compliance Compliance and Audits: Oncology coding compliance is essential to avoid audits, penalties, and potential claim denials.

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Medisys Compliance

JULY 8, 2024

This article explores how these innovations are transforming medical billing practices, offering insights into the benefits and applications for healthcare providers. Medical Billing Best Practices: Utilizing Advanced Technologies 1.

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Medisys Compliance

DECEMBER 10, 2024

Spine surgery billing is a critical component of revenue cycle management for practices specializing in neurosurgery and orthopedics. With detailed procedures, evolving payer guidelines, and highly specific CPT codes, accurate billing ensures optimal reimbursement and compliance.

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Medisys Compliance

MAY 2, 2024

Traditionally, fee-for-service (FFS) reimbursement has been the dominant payment model for wound care. This article discusses about the various payment models for chronic wounds, aiming to empower wound care providers with the knowledge and insights needed to navigate this evolving landscape.

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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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Medisys Compliance

JULY 3, 2024

This article explores into advanced strategies for maximizing revenue cycle management, providing healthcare providers with the knowledge and tools to enhance their financial performance. Regular training sessions and certification programs can enhance their skills and ensure compliance with industry standards.

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