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.

Medical Billing 45

Medical Billing HIPAA Compliance US Department of Health and Human Services 45

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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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

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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Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Medisys Compliance

AUGUST 22, 2024

Introduction to Mental Health Billing Outsourcing Mental health providers face unique challenges in managing their billing processes. With the minor details involved in coding, claims submission, and compliance, many practices are turning to mental health billing outsourcing as a solution.

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Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JULY 30, 2024

Introduction Navigating the minor details of mental health billing and coding can be a challenging task for providers. Accurate and efficient billing practices are essential to ensure proper reimbursement and compliance. Staying informed about these rates and negotiating with payers can optimize your revenue.

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Medical Billing Outsourcing Medical Billing Compliance HIPAA 59

Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. Understanding these updates is crucial for behavioral health providers to ensure compliance, maximize reimbursements, and continue delivering high-quality care. All rights reserved.

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Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

AUGUST 6, 2024

This article explores the various internal medicine billing services available for small practices and emphasizes the need for professional billing service providers to ensure financial stability and compliance. Here’s why specialized billing services are crucial: 1.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Patient Satisfaction Medical Billing Compliance 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.

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Medicare Medicare Medical Billing Outsourcing COVID-19 59

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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Medical Billing Outsourcing Compliance Informed Consent Medical Billing 59

Medisys Compliance

AUGUST 1, 2024

This article explores the minor details of group therapy billing, providing practical guidance on code selection, modifier usage, bundling, and unbundling, time-based versus unit-based billing, prior authorization, and regulatory compliance. Key elements include: Patient Demographics: Accurate and complete patient information.

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Medical Billing Outsourcing Compliance Medical Billing Regulatory Compliance 59

Medisys Compliance

JULY 22, 2024

This article provides a comprehensive guide to optimizing billing practices for SBRT to ensure compliance and enhance revenue. Key Billing Codes for SBRT Accurate billing for SBRT involves using the correct Current Procedural Terminology (CPT) codes. 77372: SBRT treatment management, per day, per lesion.

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Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JULY 31, 2024

As an oncologist or oncology billing specialist, understanding the minute details of maximizing reimbursement for immunotherapy is crucial. This guide explores the technical aspects of billing for immunotherapy to ensure optimal reimbursement while maintaining compliance. Ensure compliance with state-specific guidelines.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

JULY 16, 2024

Understanding Mental Health Billing Mental health billing differs from general medical billing in several key ways. The unique nature of mental health services requires specialized billing practices to ensure compliance and maximize reimbursements. Key components include: 1. Recent changes include: 1.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

AUGUST 11, 2024

Compliance with HIPAA and Other Regulations Ensuring compliance with HIPAA and other privacy regulations is paramount. This includes secure handling of patient information and adherence to state-specific regulations. This includes treatment plans, progress notes, and session details. All rights reserved.

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Medical Billing Outsourcing Medical Billing Services Medical Billing Regulatory Compliance 52

Medisys Compliance

APRIL 25, 2024

Promoting Interoperability: This incentivizes electronic health information (EHI) exchange to improve care coordination. Remember, staying informed, focusing on quality, and utilizing technology can make navigating MACRA a smoother journey for your cardiology practice. MACRA regulations are subject to change.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

JULY 8, 2024

Natural Language Processing (NLP) in Billing Natural Language Processing (NLP) enhances medical billing by interpreting clinical notes and ensuring accurate coding and billing. NLP algorithms can extract relevant information from unstructured clinical data, facilitating precise coding.

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Medical Billing Patient Satisfaction Medical Billing Outsourcing Compliance 59

Medisys Compliance

JULY 3, 2024

Data-Driven Decision Making Data-driven decision-making involves using detailed financial reports and data analysis to inform strategic choices. Implementing dashboards and automated reporting tools can help track performance and make informed decisions quickly.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance HIPAA Medical Billing 59

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medicaid Medicaid 59

Medisys Compliance

JANUARY 11, 2024

Documentation Burden Detailed documentation is crucial for supporting claims and ensuring compliance with regulations. Proper medical terminology and abbreviations. Regulatory updates and compliance requirements. Audits: Increased scrutiny from Medicare and Medicaid for potential coding discrepancies.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

APRIL 1, 2024

Patient Consent: Ensure patients have consented to receiving telehealth services and understand potential billing implications. Maximizing Reimbursement for Telehealth Services Stay Informed: Keep yourself updated on the latest telehealth billing regulations from Medicare, Medicaid, and private insurers.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

Medisys Compliance

JUNE 18, 2024

Compliance with Regulations: Cardiology billing must comply with numerous regulations, including those from the Centers for Medicare & Medicaid Services (CMS) and private insurers. Staying updated with changes in billing guidelines and regulatory requirements is crucial to avoid penalties and ensure compliance.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Patient Satisfaction 59

Medisys Compliance

JULY 9, 2024

For cardiologists and medical coders specializing in cardiology, accurate ICD-10 coding is essential to ensure proper billing, avoid claim denials, and maintain compliance with healthcare regulations. Stay informed about any changes in healthcare regulations that may impact coding practices. Unstable angina I20.1:

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

AUGUST 23, 2024

Whether you’re dealing with compliance, avoiding common errors, or coding for specialized treatments like chemotherapy and radiation, this guide will help you navigate the complexities of oncology coding rules and guidelines. Keeping abreast of these changes is essential for maintaining compliance.

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Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

JANUARY 19, 2024

Evolving regulations: The US healthcare landscape is constantly shifting, with new billing codes, compliance requirements, and payer policies emerging regularly. Charge capture automation: Streamline coding and bill creation, minimizing errors. Effective denial management becomes crucial. Staying updated is essential.

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Medical Billing Outsourcing Medical Billing Patient Satisfaction Compliance 64

Medisys Compliance

MARCH 7, 2024

Significance of Annual Updates The dynamic nature of healthcare necessitates regular updates to CPT codes to reflect advancements in medical technology, evolving clinical practices, and changes in healthcare regulations. These changes reflect emerging procedures, innovative technologies, and revisions to existing medical practices.

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Medical Billing Medical Billing Outsourcing Regulatory Compliance COVID-19 59

Medisys Compliance

APRIL 15, 2024

Introduction The world of medical billing can be complex, and urology is no exception. The good news is that staying informed about the latest Current Procedural Terminology (CPT) code updates can help ensure your practice receives proper reimbursement for services rendered.

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Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 64

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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Medical Billing Outsourcing Medical Billing Medicare Medicare 98

Medisys Compliance

AUGUST 20, 2024

With the growing demand for mental health services, providers must understand the complexities of behavioral health billing to ensure timely reimbursements, minimize denials, and maintain financial stability. Billing Behavioral Health Services 1. evaluation and management), use the appropriate modifiers (e.g.,

Medical Billing Outsourcing 59

Medical Billing Outsourcing Licensing Medical Billing Informed Consent 59

Medisys Compliance

JANUARY 21, 2024

Introduction The mental health omnibus bill, recently passed by Congress, marks a significant milestone in improving access to mental healthcare in the United States. Understanding the Bill and its Implications The mental health omnibus bill encompasses a multitude of provisions aimed at bolstering mental health resources and services.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

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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Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

JULY 5, 2024

They stay updated with the latest industry changes, including coding updates, payer requirements, and compliance regulations. Additionally, they use state-of-the-art billing software that ensures accuracy and efficiency. Scalability As your practice grows, so does the complexity of your billing processes.

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Medical Billing Patient Satisfaction Medical Billing Outsourcing Compliance 59

Medisys Compliance

JANUARY 30, 2024

The complex, ever-changing landscape of medical billing complicates this endeavor, often leading to claims denials, inefficiencies, and delayed reimbursements. This is where the concept of radiology billing outsourcing emerges as a potential solution. Enhanced Compliance: Regulatory updates are frequent and complex.

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Medical Billing Medical Billing Outsourcing Compliance Medical Billing Services 59

Medisys Compliance

AUGUST 29, 2024

For more detailed information on the specific CPT codes and how to use them, healthcare providers should refer to the AMA’s official CPT codebook or consult with a certified medical coder. Accurate documentation is crucial for justifying the medical necessity of the service and ensuring compliance with payer requirements.

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Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JULY 9, 2024

With the advent of new coding guidelines, healthcare providers must stay updated to ensure accurate billing and reimbursement. Importance of Accurate Coding Accurate coding is essential not only for reimbursement but also for maintaining compliance with regulatory requirements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

APRIL 16, 2024

Medical Necessity: Justify why a 60-minute session is necessary. Plan Compliance: Adhere to your insurance carrier’s specific guidelines for psychotherapy coding. By implementing the strategies outlined above, you can streamline your billing process, maximize collections, and ensure your mental health practice flourishes.

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Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

MAY 7, 2024

Additionally, mental health billing involves navigating complex insurance requirements, such as pre-authorizations and claims submissions specific to mental health treatments. Stay Updated with Regulatory Changes: Compliance with evolving healthcare regulations is critical.

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Medical Billing Outsourcing Medical Billing Compliance HIPAA 59

Medisys Compliance

AUGUST 14, 2024

Patient Registration: Accurate and complete patient demographic and insurance information is crucial for subsequent billing and claims processing. Authorization: Obtaining prior authorization for treatments and medications is a time-consuming but essential step to prevent claim denials.

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