Medisys Compliance

JUNE 14, 2023

Introduction Medical billing is a critical aspect of healthcare administration, ensuring that healthcare providers receive appropriate reimbursement for the services they deliver. However, the landscape of medical billing in Alabama presents its unique set of challenges.

Medical Billing 52

Medical Billing Medical Billing Services Medical Billing Outsourcing Regulatory Compliance 52

Medisys Compliance

DECEMBER 19, 2024

This article explores what MDM means in cardiology, how it is evaluated, and why it matters for both clinical practice and billing compliance. Risk Assessment: Minimal risk, medication continued without changes. Moderate Complexity MDM Example Scenario: A 70-year-old patient presents with new-onset palpitations and fatigue.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

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

MARCH 13, 2024

Modifier 25: Significantly, mental health providers often use Modifier 25, which indicates that a significant, separately identifiable evaluation and management (E/M) service was performed on the same day as another procedure or service.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Compliance 59

Medisys Compliance

OCTOBER 20, 2023

Insurance Reimbursement: Emergency medical services are typically covered by various insurance plans, including public programs like Medicare and Medicaid, as well as private insurance. Detailed medical records provide the necessary support for justifying the level of care and ensuring appropriate reimbursement.

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Medisys Compliance

AUGUST 1, 2024

Group therapy, a vital component of mental health treatment, presents unique challenges for billing and coding. Accurate and compliant group therapy billing requires a comprehensive understanding of patient eligibility, group composition, session structure, provider qualifications, and meticulous documentation.

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Medical Billing Outsourcing Compliance Medical Billing Regulatory Compliance 59

Medisys Compliance

MAY 15, 2024

Increased awareness, reduced stigma, and the rise of teletherapy are all contributing to a surge in demand for mental health services. This growth presents challenges and opportunities for mental health providers and the billing companies supporting them.

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Medical Billing Outsourcing Medical Billing Services Medical Billing Medicaid 59

Medisys Compliance

OCTOBER 1, 2022

To avoid any bottlenecks, here’s a listicle of the common CPT codes which are used for mental health billing : 90832 — 30 minutes of individual counselling. 96130 — Evaluation services, such as reporting, treatment planning, clinical decision-making, deciphering test results, and giving patients, caregivers, or family members feedback.

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Medisys Compliance

DECEMBER 21, 2022

A detailed outline to help spot any further new medical conditions that would require antibiotics, a biopsy, further testing, podiatric consulting, or vascular procedures. Here are 3 compelling reasons to outsource your wound care medical billing: 1. Statistical discrepancy is present. Full compliance with HIPAA.

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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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Medical Billing Outsourcing Compliance Informed Consent Medical Billing 59

Medisys Compliance

APRIL 26, 2024

Essential Considerations for Accurate Outpatient Billing Accurate Documentation: Detailed and clear physician documentation is vital for accurate coding. Documentation should reflect the history of present illness, review of systems, medical decision-making, physical examination findings, and assessment/plan.

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Medisys Compliance

OCTOBER 12, 2023

90847 – Family psychotherapy (with the patient present): This code is employed when a therapist conducts a session involving multiple family members with the patient present. Only use this code when the patient is physically present during the family therapy session.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 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. Research industry benchmarks and present a compelling case for your value. This allows you to address specific issues and refine your billing practices.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 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.

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Medical Billing Medical Billing Outsourcing Regulatory Compliance COVID-19 59

Medisys Compliance

JANUARY 4, 2024

This article equips primary care providers with the latest knowledge and technical expertise to navigate the process seamlessly, maximizing new patient visit billing accuracy and minimizing compliance risks. Required Documentation Solid medical documentation is your armor against denials and audits.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

MAY 7, 2024

This is where a dedicated mental health billing service can make a world of difference, offering substantial benefits that can help providers reduce stress and regain valuable time to focus on patient care. Here’s where a mental health billing service can be a game-changer.

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Medical Billing Outsourcing Medical Billing Compliance HIPAA 59

Medisys Compliance

MAY 27, 2024

Streamlining Your GI Billing Process Patient Insurance Verification: Before each encounter, confirm the patient’s insurance is active and understand their GI coverage details (deductibles, co-pays, covered services). Accurate Documentation: Maintain thorough medical records for each patient.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 59

Medisys Compliance

APRIL 25, 2024

Technology Adoption: Utilizing technology solutions for billing, coding, and quality data capture can streamline your workflow and improve reporting efficiency under MACRA. We offer a comprehensive suite of services designed to streamline MACRA compliance.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

FEBRUARY 13, 2024

90847: Family psychotherapy (with client present), 50 minutes This code covers family therapy sessions where the client actively participates for 50 minutes. Staying informed about billing updates and specific payer requirements is crucial for continued compliance and efficiency.

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Medical Billing Outsourcing Informed Consent Medical Billing Compliance 69

Medisys Compliance

AUGUST 29, 2024

However, billing for these e-visits presents unique challenges that require careful attention to detail. This article will guide you through the minor details of e-visits cardiology billing, helping you navigate the complexities to ensure accurate reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JANUARY 21, 2024

Providers should be aware of: Telehealth Expansion: Continued telehealth coverage for mental health services opens up new opportunities for patient care. Explore telehealth platforms and ensure compliance with state regulations. Network Adequacy: The bill pushes for adequate provider networks in Medicare Advantage plans.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

Medisys Compliance

JANUARY 31, 2024

Incomplete Documentation Session notes should be detailed, capturing the presenting problem, interventions, progress, and treatment plan. Billing Process Blunders Choose the correct claim form (CMS-1500 or UB-04) based on the service and beneficiary type. Vague or incomplete notes raise red flags.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

AUGUST 20, 2024

Billing for behavioral health services presents unique challenges that differ from other medical specialties. 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.

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Medisys Compliance

JANUARY 5, 2023

There is no assurance that a claim will be approved in full, even if it is presented quickly. You can ensure that each claim is being tagged appropriately and sent out when you delegate the difficulties of your billing process to mental health billing experts. Clean claims. On-time payments depend on clean claims.

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Medical Billing Medical Billing Outsourcing Medical Billing Services 52

Medisys Compliance

FEBRUARY 26, 2024

Episode-based billing extends this concept by encompassing a broader range of services and encounters over a defined period, often including pre-procedure assessments, the procedure itself, post-procedure follow-up care, and any associated complications or readmissions.

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Medical Billing Outsourcing Medical Billing Patient Satisfaction Medicaid 59

Medisys Compliance

AUGUST 14, 2024

From patient registration to final payment, each step presents unique challenges and opportunities. Advanced coding software can aid in code selection and compliance. Effective Patient Financial Responsibility Management Managing patient financial responsibility in oncology care presents unique challenges.

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Medisys Compliance

OCTOBER 23, 2023

Common Billing Challenges in Family Practice Family practice billing presents unique challenges due to the diverse range of services offered and the necessity of dealing with multiple insurance plans. Follow-up may involve addressing denials, resubmitting claims, or appealing decisions.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Regulatory Compliance Compliance 59

Medisys Compliance

FEBRUARY 7, 2024

While billing often occurs after the fact, capturing patient payments at the time of service (TOS) offers significant advantages. Medisys, your trusted medical billing partner, presents a comprehensive guide to help you optimize TOS collections and improve your financial health.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

JANUARY 24, 2024

This improved detail allows for more accurate documentation and billing, capturing the nuances of patient presentations. While these OB/GYN billing updates 2024, present challenges, they also offer opportunities for improved accuracy, research, and patient care.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

JANUARY 11, 2023

Your medical organization should present a suitable transition plan in order to handle this challenging moment. A good transition strategy should have a single point of contact, a thorough examination of your present revenue cycle, training for internal staff, and the assignment of duties to your team and the billing business.

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Medisys Compliance

JUNE 26, 2024

This article, presented by Medisys, aims to educate providers on ICD-10 coding for mental health and offer advisory content to enhance their coding practices. Billing experts can provide insights into common coding errors and best practices. This collaboration ensures compliance and optimizes the reimbursement process.

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Medical Billing Medical Billing Outsourcing Medicaid Medicaid 45

Medisys Compliance

APRIL 5, 2024

Introduction Accurate billing for Myocardial Perfusion Imaging (MPI) is crucial for cardiologists and medical billing specialists alike. Medisys , a leading provider of accurate cardiology billing services, presents this comprehensive guide to ensure you receive proper reimbursement for MPI procedures.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 64

Medisys Compliance

FEBRUARY 29, 2024

Introduction The increasing adoption of virtual care in primary care presents an exciting opportunity to improve patient access to care while offering greater flexibility for providers. However, navigating the small details of billing for these services can be challenging.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

Medisys Compliance

APRIL 7, 2023

Modifiers for Mental Health Telehealth Telehealth modifiers indicate that a service was provided remotely, rather than in-person, and help payers to identify and process telehealth claims appropriately. This means that the patient is not physically present in their own residence when receiving the services.

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Medisys Compliance

MAY 10, 2024

Introduction The ever-changing landscape of healthcare presents unique challenges for mental health providers. Complex regulations, intricate coding requirements, and the specific nuances of mental health services all contribute to a billing environment fraught with complexities.

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Medical Billing Medical Billing Outsourcing HIPAA Medical Billing Services 59

Medisys Compliance

MARCH 21, 2024

Introduction The ever-evolving healthcare landscape presents OB/GYN practices with continuous challenges. Efficient billing practices play a vital role in achieving these goals. Streamlining operations, enhancing patient care, and optimizing revenue are crucial for success.

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