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

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.

Medicaid 52

Medicaid Medicaid Medicare 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.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

APRIL 19, 2023

The Medicaid program in Florida provides medical services and assistance to low-income individuals and families. To participate in the Medicaid program, healthcare providers must meet several general requirements set forth by the Agency for Health Care Administration (AHCA).

Medicaid 52

Medicaid Medicaid Medical Billing Outsourcing Licensing 52

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 24, 2024

PHI includes any information that can be used to identify a patient and their health condition, such as Name; Address; Date of birth; Social Security number; Diagnosis; Treatment records; Medication history; and Mental health notes. Why is HIPAA Important for Behavioral Health? Many individuals with behavioral health conditions face stigma.

HIPAA 59

HIPAA Compliance Medical Billing Outsourcing Medical Billing 59

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.

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

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.

Compliance 59

Compliance Medical Billing Outsourcing Medical Billing ACA 59

Medisys Compliance

MARCH 12, 2025

Cardiology practices frequently interact with a diverse landscape of payers – from Medicare and Medicaid to a multitude of commercial insurance companies. Navigating Payer-Specific Submission Protocols In cardiology claim processing, a one-size-fits-all approach to claim submission simply doesn’t work.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

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.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Telemedicine 59

Medisys Compliance

AUGUST 27, 2024

Overview of CPT Codes in Physical Therapy CPT codes are used to describe medical, surgical, and diagnostic services. In physical therapy, these codes are essential for documenting the type and extent of services provided. Accurate coding ensures compliance and proper reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Compliance 59

Medisys Compliance

AUGUST 11, 2024

As a leading provider of medical billing services, we understand the difficulties and challenges faced by therapists in managing their billing processes. Accurate and efficient billing is crucial for maintaining a stable cash flow and ensuring that therapists are reimbursed for their services.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Services Medical Billing Regulatory Compliance 52

Medisys Compliance

MAY 20, 2024

Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures. Factors Affecting Reimbursement Rates Several factors influence reimbursement rates: CPT Codes: Current Procedural Terminology (CPT) codes categorize specific services.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

Medisys Compliance

JUNE 14, 2023

Utilizing comprehensive practice management software that integrates insurance eligibility verification and automated claims processing can streamline the billing process and improve revenue collection. Regulatory Compliance Another significant challenge in medical billing is ensuring compliance with the complex web of healthcare regulations.

Medical Billing 52

Medical Billing Medical Billing Services Medical Billing Outsourcing Regulatory Compliance 52

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

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.

Medical Billing 52

Medical Billing Telemedicine Medicaid Medicaid 52

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. Missing out on reimbursement for newly covered services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

OCTOBER 27, 2023

Optimizing these processes ensures timely and accurate billing, minimizes claim denials, and improves cash flow. Considering Outsourcing Options Outsourcing medical billing services is a viable option for small practices looking to reduce administrative burdens and improve efficiency.

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicare 59

Medisys Compliance

MARCH 13, 2024

Modifier 76 indicates that the same procedure was repeated by the same provider, allowing for accurate billing and reimbursement. This includes maintaining detailed documentation, staying updated on coding changes, and seeking guidance when uncertain about proper billing procedures.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Compliance 59

Medisys Compliance

MAY 4, 2023

Regulatory compliance: Oncology practices must comply with various regulatory requirements, including HIPAA, CMS, and payer-specific guidelines. Compliance failures can result in penalties and fines. Accurate documentation: Ensure accurate documentation of diagnoses, procedures, and medications to support accurate coding and billing.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 52

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Informed Consent Medical Billing 59

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

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.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

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).

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 59

Medisys Compliance

MAY 14, 2024

Understanding of insurance regulations : Mental health billing is subject to specific insurance guidelines and compliance rules. The Right Fit: Medical Billing Services Offered The ideal mental health billing company should offer a comprehensive suite of services that cater to your practice’s entire revenue cycle.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Patient Satisfaction 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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medicare Medicare 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. Prior Authorization Many payers require prior authorization for group therapy services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medical Billing Regulatory Compliance 59

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. It’s crucial to review contracts with payers to understand these requirements and ensure compliance.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Licensing Medical Billing Informed Consent 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

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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance COVID-19 59

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

FEBRUARY 13, 2025

Understanding Payer Policies: Proactively research and understand the specific billing guidelines, coverage policies, and pre-authorization requirements of major payers in your region, including Medicare, Medicaid, and key commercial insurers. Payer websites and provider manuals are crucial resources.

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 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. Choose the Right Codes: Select the most accurate E/M and HCPCS codes reflecting the complexity of the telehealth service provided.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

Medisys Compliance

JUNE 27, 2022

The Centers for Medicare and Medicaid Services (CMS) has announced a shift in its eligibility criteria for coverage of lung cancer screening using low-dose CT (LDCT), with implementation date of October 3 rd , 2022. CMS Announcement for Revised Coverage.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 97