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!

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. In 2024, several significant updates have been introduced that directly impact the billing processes for internal medicine.

Medicare 59

Medicare Medicare Medical Billing Outsourcing COVID-19 59

Medisys Compliance

APRIL 8, 2025

CMS Guidelines The Centers for Medicare & Medicaid Services (CMS) plays a significant role in laboratory billing. Documentation Requirements Proper documentation is crucial to support the medical necessity and accuracy of laboratory billing. This article is for informational purposes only.

Medical Billing Outsourcing 52

Medical Billing Outsourcing COVID-19 Medical Billing Medicare 52

Medisys Compliance

APRIL 8, 2025

Given the complexities of psychiatric billing, which involves specialized CPT codes, insurance policies, and evolving compliance requirements, providers often struggle with claim denials, delayed payments, and administrative burdens. Ensure they are familiar with CPT codes for psychotherapy , evaluations, and medication management.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance HIPAA 59

Medisys Compliance

FEBRUARY 24, 2025

Understanding modifier application can optimize your group therapy billing. Reimbursement rates for CPT code 90853 in group therapy billing vary significantly. Factors influencing reimbursement include the payer type ( Medicare , Medicaid, commercial insurance), geographic location, and specific contract agreements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 8, 2022

In this article, we briefly discussed these Medicare telehealth billing guidelines. CMS has finalized certain services added to the Medicare telehealth services list will remain on the list through December 31, 2023.This To know more about our Telehealth billing services, contact us at info@medisysdata.com/ 302-261-9187.

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Medicare Medicare Medical Billing Outsourcing COVID-19 59

Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. While accurate billing ensures fair reimbursement and uninterrupted patient care, billing mistakes can have significant consequences, leading to financial losses, claim denials, and even penalties.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape. All rights reserved.

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Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

AUGUST 1, 2022

Medicare enrollment is the first step towards becoming Medicare provider or supplier. CMS has shared complete process flow chart for successful Medicare enrollment. Being leading medical billing company, Medisys Data Solutions helped lots for providers and suppliers in successful Medicare enrollment.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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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Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

JUNE 24, 2022

What’s a Medicare Administrative Contractor (MAC)? Its quite common for any provider to get confused while billing to Medicare for healthcare services, as they not billing to Medicare but to a MAC. In this article, we discussed about what is MAC and activities handled by all these contractors.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

JUNE 16, 2023

G0108 is a Medicare code used for the initial preventive physical examination, also known as the IPPE or “Welcome to Medicare” visit. If you are a healthcare provider or a medical biller, understanding the billing frequency for G0108 is crucial to ensure proper reimbursement and optimal utilization of this service.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

JUNE 10, 2022

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT).

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Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

MAY 19, 2022

During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located. Some important changes to Medicare telehealth coverage and reimbursement during this period include: Location. Eligible providers.

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COVID-19 Medicare Medicare Medical Billing 52

Medisys Compliance

FEBRUARY 20, 2023

Healthcare providers often get confused about the appropriate use of modifiers GA, GX, GY, and GZ while billing Medicare. GA modifier indicates that an Advance Beneficiary Notice (ABN) is on file and allows the provider to bill the patient if not covered by Medicare. Medicare does not pay for all health care costs.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

FEBRUARY 16, 2025

As providers navigate this new landscape, understanding the implications of VBC on medical billing is crucial to ensuring compliance, efficiency, and financial stability. The post How Value-Based Care is Changing Medical Billing appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Patient Satisfaction Payment Systems 59

Medisys Compliance

JANUARY 20, 2022

The Centers for Medicare & Medicaid Services (CMS) recognizes that CCM services are critical components of primary care that promote better health and reduce overall health care costs. Billing Guidelines for Medicare Chronic Care Management. practitioner must obtain patient consent before furnishing or billing CCM.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

JULY 13, 2023

Medicare recognizes the importance of diabetes self-management training and offers coverage for eligible beneficiaries. However, there are specific guidelines and conditions that need to be met for Medicare billing. Diabetes Education Billing Guidelines for Medicare Who May Furnish the Training?

Medicare 52

Medicare Medicare Medical Billing Outsourcing Health Outcomes 52

Medisys Compliance

APRIL 25, 2024

Introduction The ever-evolving world of healthcare billing can feel complex, and with the introduction of MACRA (Medicare Access and CHIP Reauthorization Act) in 2015, cardiology practices have faced some adjustments. MACRA replaced the previously used Sustainable Growth Rate (SGR) formula for Medicare physician payments.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

APRIL 10, 2024

But navigating the complexities of HBOT billing can be daunting. This article equips US-based wound care providers with the knowledge to ensure proper reimbursement for this valuable service. Understanding Coverage and Coding Medicare reimbursement for HBOT hinges on the diagnosis.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

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. This article provides a comprehensive overview of essential information for providers navigating CMS behavioral health billing guidelines.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

Medisys Compliance

MAY 20, 2024

This article dives into the world of mental health services reimbursement rates, empowering providers with knowledge to navigate this complex system. Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures. What are Reimbursement Rates?

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

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. All rights reserved.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicare 59

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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Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

FEBRUARY 19, 2024

Additional Considerations In-network vs. out-of-network billing: Understand the differences in reimbursement rates, patient responsibility, and billing procedures for in-network and out-of-network claims. Medicare and Medicaid billing: These programs have specific regulations and coding requirements for group therapy billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

APRIL 15, 2024

This article explores some of the key changes in urology CPT codes for 2024, empowering you to navigate the billing landscape with confidence. Reference: American Urological Association (AUA) Coding and Reimbursement section CPT® codes and descriptions are copyrighted by the American Medical Association (AMA).

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 64

Medisys Compliance

APRIL 22, 2022

In the Medicare Physician Fee Schedule final rule issued in November 2021, the Centers for Medicare and Medicaid Services (CMS) added four new CPT codes (99424, 99425, 99426, and 99427) in the category of Principal Care Management (PCM) to replace the two previous PCM codes (HCPCS codes G2064 and G2065).

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

APRIL 30, 2024

However, navigating the specific billing practices for telehealth anesthesia services can be complex. This article provides a comprehensive guide for anesthesiologists and providers on telehealth anesthesia billing, covering key aspects of telehealth billing. Medicare, private insurance).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Informed Consent 59

Medisys Compliance

NOVEMBER 26, 2024

Skilled Nursing Facility (SNF) billing compliance is a critical aspect of healthcare revenue cycle management, ensuring accurate reimbursement and adherence to Medicare regulations. As healthcare providers navigate the complexities of SNF billing, maintaining compliance is essential to avoid penalties, denials, and financial losses.

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Compliance Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

AUGUST 6, 2024

Navigating the complexities of internal medicine billing can be especially challenging for small practices. Limited resources, frequent updates in billing regulations, and the need for precise coding make it difficult to manage billing in-house. Here’s why specialized billing services are crucial: 1.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Patient Satisfaction Medical Billing Medicare 59

Medisys Compliance

JULY 31, 2024

Key considerations include: Medicare: Medicare has established specific coverage criteria for various immunotherapies. References Links: American Medical Association – CPT Codes Article – Billing and Coding: Allergy Immunotherapy (A57472) CPT® Copyright 2024 American Medical Association.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

JANUARY 29, 2024

This article tackles this very challenge, equipping you, the dedicated healthcare professional, with the knowledge and resources to navigate the world of code with confidence. Subscribe to coding updates: The American Medical Association regularly updates CPT codes. Stay informed through their website or professional organizations.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

JULY 16, 2024

Introduction Mental health billing can be a complex and daunting task for healthcare providers. This article aims to provide a detailed overview of mental health billing solutions, helping providers streamline their billing processes and improve their revenue cycle management. Recent changes include: 1.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

APRIL 20, 2022

We shared billing update for free COVID-19 tests and second free booster dose in detail in this article. Medicare to Cover Over-the-Counter COVID-19 Tests. Medicare won’t cover over-the-counter COVID-19 tests for Medicare Part A (Hospital Insurance) coverage, but beneficiary may be able to get free tests through other programs.

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COVID-19 COVID-19 Vaccine Medical Billing Medicare 52

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. Missing this step can lead to denial.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance Medicaid 59

Medisys Compliance

MARCH 14, 2023

In this article, we shared wound care reimbursements in certain healthcare facilities. DRGs are a payment classification system used by Medicare and other insurance providers to categorize patients into groups based on their diagnosis, severity of illness, and the resources required for their care.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

Medisys Compliance

APRIL 1, 2024

However, navigating the billing process for these virtual visits can be complex for primary care providers. This article act as a comprehensive guide to understand and excel telehealth billing for your practice. Policies can change frequently.

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