Medisys Compliance

MARCH 2, 2025

This guide provides actionable strategies to optimize your psychiatric billing workflow, minimize revenue loss, and ensure compliance with payer requirements. Documentation must include session start and end times. Ensure documentation reflects medical decision-making (MDM) and supports the level of service.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

NOVEMBER 21, 2024

Orthopedic surgery billing is a highly specialized aspect of medical billing, requiring precise coding, documentation, and adherence to insurance guidelines. Accurate billing not only ensures reimbursement but also reduces the risk of claim denials. Documentation Expectations: Include imaging results (e.g.,

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance 59

Medisys Compliance

JANUARY 30, 2025

Insurance verification plays a crucial role in radiology billing, as it directly impacts reimbursement rates, claim approvals, and patient satisfaction. Radiology services often involve high-cost procedures, making accurate insurance verification essential to reduce denials and maintain compliance with payer requirements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Patient Satisfaction 59

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JANUARY 16, 2025

Providers must ensure that these services meet Medicares criteria for medical necessity. Documentation should support the need for these services, linking them directly to the patients diagnosis and treatment plan. Documentation Requirements Proper documentation is vital for compliant billing and successful reimbursement.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Fraud 59

Medisys Compliance

APRIL 15, 2025

Here are some key factors contributing to this evolution: Time-Consuming Processes: Managing the complete billing cycle, from accurate documentation and coding to claim submission and follow-up, demands significant time that could be better spent on patient care. Reputable medical billing companies in USA prioritize compliance.

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Compliance 59

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. for insomnia.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

APRIL 13, 2025

Effectively handling complex procedure codes, correct modifier use (like -26 or -TC), complex bundling rules, strict payer demands for pre-authorizations and medical necessity documentation, and varied E/M coding scenarios requires specialized knowledge. Compliance & Data Security: How do they ensure HIPAA compliance?

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Compliance 59

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. Compliance with coding and documentation requirements. Providers should regularly review fee schedules to ensure accurate billing and optimal reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

NOVEMBER 19, 2024

Radiology billing presents unique challenges that set it apart from other areas of medical billing. From technical complexities in coding to the need for precise documentation and frequent prior authorizations, radiology billing demands accuracy and attention to detail. In cases where an appeal is needed (e.g.,

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

Medisys Compliance

MARCH 18, 2025

Behavioral and mental health practices face unique billing challenges that are very different from other medical specialties. Complex documentation requirements, evolving payer guidelines, and the nuances of time-based coding can make managing the revenue cycle a daunting task for outpatient mental health providers.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medical Billing HIPAA 59

Medisys Compliance

MARCH 19, 2025

Why Radiology Billing Matters In the complex landscape of healthcare, radiology practices play a pivotal role in diagnosis and treatment. However, the financial health and compliance of these practices are heavily reliant on accurate and efficient radiology billing.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

SEPTEMBER 21, 2022

Scores of surgery centers have been financially crippled during the pandemic, a majority of the centers have worsened situations due to poor documentation in the ASC medical billing and coding. Medisys Data Solutions’ outsource medical billing services team steps into the picture to ensure that the LCDs are addressed. .

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Medical Billing Services Medical Billing Medical Billing Outsourcing 98

Medisys Compliance

JANUARY 20, 2025

Efficient radiology billing is vital for maintaining steady revenue streams and ensuring compliance with regulatory standards. By adopting targeted strategies and leveraging the right tools, radiologists can optimize their billing processes, reduce costs, and maximize reimbursements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

FEBRUARY 10, 2025

Providers should take note of the following key points: Updated CPT codes for psychotherapy 2025: Existing codes such as 90832 (30-minute sessions), 90834 (45-minute sessions), and 90837 (60-minute sessions) now include expanded telehealth guidelines and refined documentation requirements. 90834 or 90837). 90834 or 90837).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

FEBRUARY 24, 2025

Accurate rate assessment is vital for effective group therapy billing. Key Documentation Tips for Accurate Billing Beyond simply recording the date and CPT code, comprehensive documentation is crucial to substantiate the medical necessity and therapeutic value of each group session for accurate group therapy billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

MARCH 31, 2025

Accurate and efficient Medicare billing is not merely about receiving timely payments; it forms the base for financial stability, regulatory compliance, and ultimately, the ability to continue providing quality patient care. annual wellness visits, screenings), each with specific coding and billing guidelines that must be followed.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

MARCH 24, 2025

Here are key urgent care coding guidelines to keep in mind: Time-Based Billing: For time-based E/M codes, accurate documentation of face-to-face time with patients is critical. For example, if billing for prolonged services, ensure time spent is clearly documented. How to improve urgent care billing accuracy?

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

MARCH 5, 2024

Payer Audits and Reimbursement Challenges in Cardiology Billing Common Challenges in Cardiology Billing Coding Complexity: Cardiology procedures often involve multiple components and intricacies that require accurate coding to reflect the level of service provided.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

FEBRUARY 20, 2025

Clearly document the terms of any payment plan agreement. Develop and Implement a Clear Co-pay Collection Policy To ensure consistency and clarity, it is essential to formalize all co-pay collection procedures into a written policy document. Develop a comprehensive written co-pay collection policy document.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Patient Satisfaction Medical Billing Services 59

Medisys Compliance

JANUARY 29, 2025

The Medicare & Medicaid Maze: Why Cardiology Billing is So Complex Cardiology billing involves a unique set of challenges. Procedures are often complicated, requiring precise coding and documentation. Improved Compliance: Outsourcing companies stay current with regulatory changes, reducing the risk of audits and penalties.

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Medicaid Medicaid Medicare Medicare 59

Medisys Compliance

APRIL 8, 2025

Medicare-specific requirements: Medicare has its own set of rules and regulations regarding laboratory billing, including Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs) that specify which tests are covered under certain circumstances. The diagnosis or symptoms must be consistent with the test ordered.

Medical Billing Outsourcing 52

Medical Billing Outsourcing COVID-19 Medical Billing Medicare 52

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 12, 2025

This might involve utilizing payer portals, eligibility verification systems, or even contacting payer representatives to clarify specific coding or documentation requirements for complex cardiology procedures. Explore how Medisys specialized cardiology billing solutions can streamline your revenue cycle and maximize your reimbursements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

FEBRUARY 19, 2025

Optimize Billing and Coding Practices: Coding accuracy & compliance: Ensure your coding practices are meticulously accurate and compliant with the latest guidelines. Maximize appropriate coding: Explore opportunities to utilize more specific and higher-valued codes when clinically justified and properly documented.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

MAY 22, 2024

Optimizing Your Workflow for Accurate Billing Verify Patient Insurance and Benefits: Before each session, confirm the patient’s insurance is active and understand their mental health coverage details (deductibles, copays, covered services). Detailed Documentation: Maintain thorough notes for each session.

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Compliance Medical Billing Services Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

NOVEMBER 6, 2023

Introduction Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.

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Compliance Medical Billing Outsourcing Medical Billing ACA 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

FEBRUARY 28, 2025

Documentation must clearly support the use of contrast when billing codes designated “with contrast.” Accurate billing requires selecting the correct code based on the documented use (or non-use) of contrast. Medical necessity must justify the use of contrast.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services 59

Medisys Compliance

DECEMBER 21, 2022

The problem is that not all forms of wound care are paid for by insurance, and those that are reimbursed require a number of administrative tasks like correct documentation, precise detailing, and accurate coding. The following are necessary for wound care billing and coding: It is necessary to give a thorough account of the injury.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services HIPAA 98

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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Patient Satisfaction Payment Systems 59

Medisys Compliance

APRIL 11, 2022

Billing for Ambulatory Surgery Centers (ASCs) is tightly regulated by numerous federal as well as state-level regulatory authorities. Complete documentation will support all procedure codes your billed and will provide complete picture for payers. Pre-operative medical record documentation. Discharge documentation.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Informed Consent Nurses 52

Medisys Compliance

MARCH 9, 2025

Best Practices for Medicare Mental Health Billing To ensure compliant and efficient Medicare billing, adhere to these best practices: Strictly Follow CMS Guidelines: Stay up-to-date with the Centers for Medicare & Medicaid Services (CMS) guidelines for behavioral health billing.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Services 59

Medisys Compliance

APRIL 29, 2022

In this article, we discussed about avoiding common documentation pitfalls especially three of them: Cloning Medical Records, Conflicting Information, and Overstuffed Progress Note. Cloning Medical Records. To know more about our medical billing and coding services, contact us at info@medisysdata.com/ 302-261-9187.

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Medical Billing Medical Billing Outsourcing Fraud Medical Billing Services 52

Medisys Compliance

FEBRUARY 25, 2025

Distinguishing between drug-eluting stents (DES) and bare-metal stents is not directly coded with different CPTs but is crucial for documentation and sometimes payer-specific considerations. Radial vs. femoral approach does not change the CPT code but should be documented. Multiple Vessel Procedures (e.g., Valvuloplasty (e.g.,

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Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 52

Medisys Compliance

SEPTEMBER 29, 2022

This is exactly wherein the professional optometry billing companies step into the picture to toss away complex and stressful tasks. When it comes to denial management for optometrists, these physicians face scores of challenges, some of them are as follows: Bad or missing documentation. Failure to have a proper financial policy.

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Medicare Medicare 98

Medisys Compliance

MAY 12, 2023

As with any medical specialty, accurate documentation and coding of services provided is critical to ensure proper billing and reimbursement. The Current Procedural Terminology (CPT) codes provide a standardized system for coding and billing medical services, and there are many specific codes related to endocrinology.

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