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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 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.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

APRIL 8, 2022

CMS has updated the Telehealth Services List to show minor changes due to various activities, such as the CY 2022 MPFS Final Rule and legislative changes from the Consolidated Appropriations Act of 2021. In this article, we briefly discussed these Medicare telehealth billing guidelines. Definition of ‘Originating Sites’.

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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.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 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

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. Medicare Coverage. American Medical Association. All Rights Reserved. Reference: [link].

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Medicare Medicare Medical Billing Medical Billing Outsourcing 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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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. Cost-sharing.

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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.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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 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. It may also help prevent duplicative practitioner billing.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 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. This preventive service is designed to assess a beneficiary’s health status and provide essential preventive care measures.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 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.

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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.

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Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 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.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

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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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

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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Compliance Medical Billing Services Medical Billing Medical Billing Outsourcing 59

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. Billers must understand these programs and ensure accurate and timely data submission.

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Medical Billing Medical Billing Outsourcing Patient Satisfaction Payment Systems 59

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

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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Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

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.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 64

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

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.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

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

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. Reimbursement is based on contract agreements and fee schedules.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Telemedicine 59

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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Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 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.

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Medical Billing Outsourcing Medicaid Medicaid Medical Billing 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

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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Medical Billing Outsourcing Medical Billing Services Medical Billing Patient Satisfaction 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

MARCH 14, 2023

Whatever might be healthcare facility, it’s important to get accurately reimbursed for wound care services. In this article, we shared wound care reimbursements in certain healthcare facilities. The MPFS is a payment system that reimburses healthcare providers for services rendered to Medicare patients in an outpatient setting.

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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).

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Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

DECEMBER 12, 2023

As we move into 2024, several key updates will impact how behavioral health providers bill for their services. In this article, we will explore the most important behavioral health billing updates planned for 2024, focusing on both Medicare and commercial payers. Behavioral Health Billing Updates: For Medicare 1.

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Medical Billing Medical Billing Outsourcing Medicare 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.

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Medical Billing Outsourcing Medical Billing Compliance Medicare 59

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. The compliance process involves understanding and following payer-specific guidelines, particularly those set by Medicare. Keeping abreast of these changes is essential for maintaining compliance.

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Medical Billing Outsourcing Compliance Medicare Medicare 59

Medisys Compliance

MAY 27, 2024

Introduction For gastroenterology professionals, navigating the complexities of medical billing can be a daunting task. However, mastering GI billing is crucial for ensuring timely reimbursements and maximizing your practice’s revenue.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 59

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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