Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. Let us discuss the top compliance issues in the medical billing industry, shall we? companies operating internationally.

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Medisys Compliance

JULY 17, 2024

Whether you are an oncologist or an oncology biller, understanding these changes is vital for optimizing your billing practices and ensuring compliance with regulatory standards. Audit and Compliance: Conduct periodic audits to ensure compliance with the new guidelines. Key Changes in Coding Guidelines 1.

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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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Medisys Compliance

MARCH 5, 2024

Compliance Risks: Cardiologists must stay abreast of evolving regulatory requirements and compliance standards to avoid penalties or audits related to fraudulent billing practices.

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Medisys Compliance

AUGUST 27, 2024

Overview of CPT Codes in Physical Therapy CPT codes are used to describe medical, surgical, and diagnostic services. Accurate coding ensures compliance and proper reimbursement. Regularly review updates from authoritative sources like the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS).

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Medisys Compliance

JANUARY 11, 2024

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

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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.

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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.

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Medisys Compliance

AUGUST 11, 2024

For example, Medicaid often has different rates and requirements compared to private insurance. Documentation Requirements Detailed documentation is necessary to support the billed services. Compliance with HIPAA and Other Regulations Ensuring compliance with HIPAA and other privacy regulations is paramount.

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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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Medisys Compliance

APRIL 25, 2024

MIPS focuses on four key performance categories: Quality: This measures the quality of care you provide to your patients based on specific metrics established by the Centers for Medicare & Medicaid Services (CMS). We offer a comprehensive suite of services designed to streamline MACRA compliance.

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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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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. Prior Authorization Many payers require prior authorization for group therapy services.

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Medisys Compliance

MARCH 7, 2024

These changes reflect emerging procedures, innovative technologies, and revisions to existing medical practices. Healthcare professionals must familiarize themselves with these changes to avoid coding errors and ensure compliance with regulatory requirements.

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Medical Billing Medical Billing Outsourcing Regulatory Compliance COVID-19 59

Medisys Compliance

APRIL 1, 2024

Maximizing Reimbursement for Telehealth Services Stay Informed: Keep yourself updated on the latest telehealth billing regulations from Medicare, Medicaid, and private insurers. Partner with a Billing Specialist: Consider outsourcing your medical billing to a company experienced in telehealth coding and compliance.

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Medisys Compliance

FEBRUARY 21, 2024

Introduction As an obstetrician-gynecologist (OB/GYN) provider, accurate coding and billing are essential for ensuring proper reimbursement and maintaining compliance with healthcare regulations. However, improper use of this code can lead to billing errors and potential compliance issues.

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Medisys Compliance

MARCH 27, 2024

Outsourcing eliminates these costs, allowing you to leverage a team of experts without significant upfront investment. Expertise in Regulatory Compliance: The regulatory landscape for healthcare billing is constantly evolving.

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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

AUGUST 20, 2024

It is essential to consult the CMS behavioral health billing guidelines and payer-specific policies to ensure compliance with who can bill for what services. Billing Behavioral Health Services 1. These guidelines cover everything from who can bill for services to the required documentation and coding practices.

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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.

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Medisys Compliance

APRIL 17, 2024

Key Features to Look for in Mental Health Billing Companies When selecting a mental health billing company, several key features should be considered: Experience Look for companies with a proven track record in the mental health industry, like Medisys Data.

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Medical Billing Outsourcing Medical Billing Compliance HIPAA 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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Medisys Compliance

FEBRUARY 26, 2024

With expertise in coding, documentation, and compliance, Medisys ensures accurate reimbursement for comprehensive cardiac services. Contact Medisys to learn more about cardiology billing services. Trust Medisys to optimize your revenue cycle management, allowing you to focus on delivering high-quality care to your patients.

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Medisys Compliance

MAY 20, 2024

Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures. Payer Websites: Insurance companies and government agencies (Medicare, Medicaid) often publish reimbursement rates on their websites.

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Medisys Compliance

JUNE 26, 2024

Utilize resources such as the American Psychiatric Association (APA) and the Centers for Medicare & Medicaid Services (CMS) for updates and guidelines. Collaboration with Billing Experts Work closely with medical billing experts like Medisys to ensure that your coding practices align with the latest standards and regulations.

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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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Medisys Compliance

AUGUST 30, 2024

Pain management often involves a variety of treatments that require precise billing practices to ensure proper reimbursement. Understanding the minor details of anesthesiology billing for pain management is crucial for healthcare providers who want to optimize their revenue cycle and maintain compliance with ever-evolving regulations.

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Medisys Compliance

NOVEMBER 8, 2023

Regulations and Compliance State Regulations: State regulations regarding telehealth services can vary significantly. Mental health providers must stay up-to-date with their state’s specific telehealth regulations and ensure compliance with them. This includes licensure, scope of practice, and billing rules.

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Medisys Compliance

JULY 27, 2023

Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. This helps maintain compliance and reduce errors.

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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. To conclude, Accurate ICD-10 coding in cardiology is essential for proper reimbursement, compliance, and quality patient care.

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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.

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Medisys Compliance

OCTOBER 20, 2023

Emergency medical coders use standardized code sets like CPT (Current Procedural Terminology) and ICD-10 (International Classification of Diseases) to describe the services rendered. Detailed medical records provide the necessary support for justifying the level of care and ensuring appropriate reimbursement.

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Medisys Compliance

AUGUST 29, 2024

In-Office Visits Billing for e-visits differs from traditional in-office visits in several key ways: Documentation: E-visits require thorough documentation to capture the reason for the visit, the patient’s medical history, the services provided, and the time spent on the consultation.

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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. The post A Guide to Urology Revenue Cycle Management appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

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Medisys Compliance

OCTOBER 18, 2023

Following are some practical tips to help you streamline your billing and coding processes for this important procedure code: Stay Updated with Coding Guidelines: Regularly review the latest coding guidelines and updates from reliable sources such as the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS).

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Medisys Compliance

APRIL 30, 2024

This article provides a comprehensive guide for anesthesiologists and providers on telehealth anesthesia billing, covering key aspects of telehealth billing. Eligible Services for Telehealth Billing The Centers for Medicare & Medicaid Services (CMS) maintains a list of services eligible for telehealth billing.

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Medisys Compliance

APRIL 23, 2024

Stay Current on Regulations and Coding Updates Monitor Regulatory Changes: Stay informed about updates to regulations like MACRA (Medicare Access and CHIP Reauthorization Act) that may impact your billing practices. Utilize resources from the Centers for Medicare & Medicaid Services (CMS) and your local healthcare associations.

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