Medisys Compliance

JANUARY 22, 2025

This comprehensive guide will explore the key aspects of outsourced medical billing, addressing common questions and concerns for healthcare providers. We’ll talk about the benefits, costs, and considerations involved in partnering with a specialized billing company. What is Outsourced Medical Billing?

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

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Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

MARCH 21, 2025

Accurately understanding physical therapy billing units is crucial for healthcare providers to ensure proper reimbursement and compliance. But behind every effective treatment plan is the challenge of accurate documentation and billing. Confusing Timed vs. Untimed Codes: Billed 97110 as untimed? Thats a common mistake!

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Medisys Compliance

NOVEMBER 25, 2024

These agencies handle everything from claim submission to payment collection, ensuring accuracy and compliance with the latest regulations. By outsourcing medical billing, healthcare providers can minimize errors, reduce administrative burdens, and maximize revenue. Outsourcing to an agency is often more cost-effective.

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Medisys Compliance

DECEMBER 24, 2024

Check state-specific Medicaid guidelines to ensure compliance. Commercial Payer Policies Private payers may have different policies regarding teletherapy reimbursement: Always verify coverage and billing requirements before the session. Disclaimer: CPT is a registered trademark of the American Medical Association (AMA).

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Medical Billing Outsourcing Medicaid Medicaid Medical Billing 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.

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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. Modifiers play a crucial role in providing additional information about the services rendered.

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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

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.

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Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

NOVEMBER 21, 2024

Correct use of modifiers helps avoid claim denials and ensures compliance with payer guidelines. Global Surgical Packages and Billing Rules Orthopedic surgeries typically fall under global surgical packages. Use NCCI (National Correct Coding Initiative) edits to ensure compliance. The post How to Bill for Orthopedic Surgery?

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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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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

JANUARY 16, 2025

Providers must use HIPAA-compliant telehealth platforms and ensure informed consent is documented in the patients record. While some flexibilities have been made permanent, providers should stay updated on the latest CMS guidelines to ensure compliance. Avoid upcoding: Ensure billed codes reflect the actual services provided.

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Medisys Compliance

MARCH 18, 2025

Our Behavioral & Mental Health Billing Services Process Medisys follows a streamlined, end-to-end billing process that simplifies revenue cycle management for outpatient mental and behavioral health providers. Our approach ensures accuracy, compliance, and efficiency at every step. Ready to streamline your billing process?

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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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Medisys Compliance

APRIL 24, 2024

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that safeguards the privacy of individuals’ health information, including mental health and substance abuse treatment records. It also established national standards for protecting individuals’ protected health information (PHI). What is HIPAA?

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Medisys Compliance

APRIL 8, 2025

Accurate laboratory coding is not merely an administrative task; it is the cornerstone of compliant billing practices, ensuring timely reimbursement for the valuable diagnostic services laboratories provide and preventing costly claim denials. Understanding Laboratory Coding in Medical Billing What is Laboratory Coding?

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Medisys Compliance

NOVEMBER 19, 2024

Effective denial management helps radiology practices recover lost revenue, ensure compliance, and streamline billing workflows. For radiology-specific claims, where technical and professional fees are often billed separately, efficient denial management is critical to prevent these claims from heading straight to write-offs.

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Medisys Compliance

FEBRUARY 24, 2025

For billing purposes, group therapy generally refers to structured psychotherapy sessions conducted with multiple patients simultaneously, under the direction of a qualified mental health professional. This is fundamental information for group therapy billing.

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Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

FEBRUARY 10, 2025

This guarantees compliance and appropriate reimbursement. Stay informed about payer policies to avoid claim denials. About Medisys Data Solutions (MDS) At Medisys , we specialize in simplifying billing for mental health providers. Partner with us to streamline your billing operations and focus more on patient care.

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Medisys Compliance

FEBRUARY 19, 2025

This isn’t just a minor adjustment; it’s a recalibration of how Medicare values and reimburses crucial radiology services, demanding a proactive and informed response from your practice. Now, in February 2025, these proposed rules are our current reality.

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Medisys Compliance

MARCH 24, 2025

Regular Staff Training: Ensuring that billing and coding staff are well-trained and up-to-date on the latest guidelines and regulations. Staying Informed: Keeping abreast of changes in coding guidelines, payer policies, and industry regulations. Disclaimer: CPT codes are owned and copyrighted by the American Medical Association (AMA).

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 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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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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Medisys Compliance

FEBRUARY 20, 2025

This proactive step eliminates guesswork and equips your front desk staff with accurate information. The post Best Practices for Collecting Patient Co-Pays at the Time of Service appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

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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

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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Medical Billing Medical Billing Outsourcing Patient Satisfaction Payment Systems 59

Medisys Compliance

SEPTEMBER 29, 2022

Verification and eligibility of the patient: From collecting adequate information, verification to checking eligibility of the patients, medical billing companies play a significant role. Whether it is collecting insurance information or finding out the relevant diagnosis, these billing professionals take care of everything.

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Medisys Compliance

MARCH 9, 2025

Staying informed about these rates is important for financial planning. Incident-To Billing and Medicare Mental Health Counseling “Incident-to” billing allows non-physician practitioners to bill Medicare under a physician’s NPI in certain circumstances, primarily in physician offices.

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Medisys Compliance

JANUARY 23, 2023

Staying afloat of information Verifying people’s personal and insurance information is an integral part of the billing process. Additionally, purchasing medical billing software and upgrades can be very expensive. All of these possibilities increase the providers’ financial burden.

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Medisys Compliance

FEBRUARY 18, 2025

If interstate practice rules become stricter: Licensing compliance: Youd need to ensure all your clinicians are properly licensed in each state where their telehealth patients reside, which could increase the administrative burden and potentially limit your service area. You don’t need to panic about massive overhauls.

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Medisys Compliance

AUGUST 23, 2022

The six arguments listed below may help you come to a decision if you are still struggling with a serious doubt about whether you need to consider outsourcing medical billing services or prefer having an inhouse medical billing team. You can thus benefit from a healthy revenue cycle’s outcomes.

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Medisys Compliance

JANUARY 30, 2023

Let us discuss the top compliance issues in the medical billing industry, shall we? HIPAA: The Health Insurance Portability and Accountability Act( HIPAA) is a federal law that establishes the national standards for protecting the privacy and security of individuals’ personal health information ( PHI).

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Medisys Compliance

JUNE 23, 2024

Introduction In the ever-evolving landscape of healthcare, compliance with the Health Insurance Portability and Accountability Act (HIPAA) is crucial for protecting patient information and maintaining trust. Enacted in 1996, HIPAA is a federal law designed to safeguard patient health information (PHI) from fraud and abuse.

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Medisys Compliance

DECEMBER 21, 2022

The following are necessary for wound care billing and coding: It is necessary to give a thorough account of the injury. It is important to gather information on the wound’s size, drainage, look, presence of infection, appearance, or any other underlying medical issues. Full compliance with HIPAA. Expert coding.

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Medisys Compliance

MARCH 12, 2025

Accuracy in patient demographics, verified insurance information, and precise referring physician details (often vital for cardiology referrals) forms the bedrock of successful cardiology claim processing. Explore how Medisys specialized cardiology billing solutions can streamline your revenue cycle and maximize your reimbursements.

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Medisys Compliance

DECEMBER 19, 2022

Making it a practice to monitor key performance indicators will make it simpler for you to gain a better grasp of your medical billing position. You may create strategies to enhance these numbers after you start methodically gathering information on what you’re being paid and when, who is not paying, and how these trends evolve.

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Medisys Compliance

OCTOBER 17, 2022

Four out of five bills have at least minor inaccuracies, which can lead to piling of exorbitant medical costs, burning a hole in the medical pockets. Other typical errors include paying for the same service more than once or adding incomplete or inaccurate information for a patient. Sounds scary, doesn’t it?

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