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. Will Medicare Stop Paying for Telehealth in 2025? CPT codes are essential for billing telehealth services accurately. What Is the CPT Code for Telehealth in 2025?

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Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

DECEMBER 18, 2024

Managing patient billing inquiries and collections. Unlike general medical billing outsourcing, primary care billing requires a focus on routine services such as evaluation and management (E/M) codes, preventive care, vaccinations, and chronic care management. Can Outsourced Billing Handle Denials and Appeals?

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Compliancy Group

JANUARY 3, 2024

One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. It pays to know the law and avoid temptations to cut corners.

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Medical Billing Compliance ACA Health Insurance 52

Medisys Compliance

JANUARY 16, 2025

Behavioral health providers play a critical role in addressing mental health challenges, but navigating the complexities of billing can be daunting. The Centers for Medicare & Medicaid Services (CMS) provides comprehensive behavioral health billing guidelines, which can be overwhelming due to their technical nature and breadth.

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Medicare Medicare Medical Billing Outsourcing Fraud 59

Medisys Compliance

DECEMBER 30, 2024

The healthcare industry is ever-evolving, and managing administrative tasks like medical billing has become increasingly complex. Many healthcare providers now outsource medical billing services to specialized companies. What Does It Mean to Outsource Medical Billing Services?

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Medical Billing Services Medical Billing Medical Billing Outsourcing Regulatory Compliance 59

Compliancy Group

JULY 18, 2024

consistently hemorrhaging money through wasteful practices, more healthcare organizations are opting to use third-party medical billing companies to reduce the chance of errors within their billing operations. With OIG compliance program guidance for third-party medical billing companies, it’s simpler to keep risk levels low.

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Medical Billing Compliance Fraud Compliance Officers 52

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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Medical Billing Outsourcing Medical Billing Compliance Patient Satisfaction 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. If you need any assistance in billing for Medicare, contact us at info@medisysdata.com/ 302-261-9187.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Medisys Compliance

DECEMBER 24, 2024

Medicare Reimbursement Medicare covers teletherapy under specific guidelines: Eligible Providers: Includes licensed clinical social workers (LCSWs), clinical psychologists, and other licensed professionals. Check state-specific Medicaid guidelines to ensure compliance. the patients location or the use of specific technology).

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Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

American Medical Compliance

MARCH 6, 2025

Fraud, Waste, and Abuse (FWA) remain critical challenges in the healthcare industry, impacting patient care, financial integrity, and regulatory compliance. Whether you’re a season professional or new to compliance training, this course will help you navigate FWA-related challenges with confidence and accountability.

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Fraud Medicare Medicare Compliance 52

Medisys Compliance

DECEMBER 23, 2022

The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Medicare reimbursement for telehealth services. Principles of PFS.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 98

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

APRIL 23, 2024

Introduction In today’s ever-evolving healthcare landscape, efficient and accurate medical billing is of highest priority for a practice’s financial health. Utilize resources from the Centers for Medicare & Medicaid Services (CMS) and your local healthcare associations. Medisys can help!

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Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

FEBRUARY 13, 2025

However, the financial health of your practice hinges significantly on efficient and accurate medical billing. In the complex world of healthcare administration, cardiology medical billing stands out as particularly challenging. When to Consider Cardiology Billing Services? Is Outsourcing Right for You?

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Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

OCTOBER 1, 2022

Navigating through the complex medicare guidelines can be a complex and overwhelming task, however, here is the good news, the entire process is merely about using the right CPT codes. However, one needs to be careful while billing as Medicare follows strict rules and regulations for time increments.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 98

Medisys Compliance

FEBRUARY 24, 2025

What Defines Group Therapy Billing? To effectively navigate group therapy billing, it’s crucial to establish a clear understanding of what defines group therapy within the context of medical billing. Understanding modifier application can optimize your group therapy billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services 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

APRIL 22, 2024

Introduction Urology practices face unique challenges in medical billing due to the intricate nature of procedures and specific coding requirements. Understanding Urology Billing The core principles of medical billing remain the same for urology.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 8, 2024

Introduction In the complex world of healthcare administration, optimizing medical billing processes is crucial for ensuring prompt payments and financial stability. Understanding the Importance of Medical Billing Medical billing serves as the backbone of revenue generation for healthcare practices.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

OCTOBER 27, 2023

Introduction In the complex world of healthcare in the United States, small medical practices often face the challenge of managing their medical billing effectively. The term ‘medical billing for small practices’ encompasses a wide array of topics that are crucial for these healthcare providers.

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Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

MARCH 5, 2024

Understanding the Landscape of Cardiology Billing Cardiology billing encompasses a wide range of services, including diagnostic testing, interventional procedures, and ongoing patient care.

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Medical Billing Outsourcing Medical Billing Compliance Governance 105

Physician Credentialing Company

DECEMBER 20, 2024

However, the question arises whether there is any condition in which a non-credentialed provider can be billed independently or under a supervising provider in medical billing. There are a lot of federal and payer-specific policies about billing non-credentialing providers.

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Medical Billing Compliance Malpractice Regulatory Compliance 52

Physician Credentialing Company

OCTOBER 31, 2024

Medical billing and coding are the cornerstone of maintaining financial stability in the healthcare sector. Medical services are mentioned in the form of CPT codes in the medical bills. Medical services are mentioned in the form of CPT codes in the medical bills.

Medical Billing 52

Medical Billing Compliance Doctors Medicare 52

Medisys Compliance

FEBRUARY 14, 2022

For providers who primarily provide care for older patients, the process is even more complex due to stringent Medicare regulations and idiosyncrasies specific to each care environment that impact the coding and documentation required for reimbursement. Ambulatory Setting.

Medical Billing 52

Medical Billing Medical Billing Outsourcing 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.

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Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

MARCH 29, 2022

While following mentioned write-offs represent inefficiencies in your medical billing operations. Every payer has a deadline for submitting charges, sometimes your billing team misses some charges. Medicare requires that claims be filed no later than 12 months after the date of service to be paid.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

AUGUST 1, 2023

Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care.

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Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

AUGUST 1, 2023

Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care.

Medical Billing Services 52

Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. While accurate billing ensures fair reimbursement and uninterrupted patient care, billing mistakes can have significant consequences, leading to financial losses, claim denials, and even penalties.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 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. This article covers the essentials of SNF billing compliance, including processes, guidelines, exclusions, and practical tips for providers.

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Compliance Medical Billing Outsourcing Medicare Medicare 52

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

MAY 22, 2024

Introduction For mental health therapists, navigating the challenges of medical billing and coding can feel overwhelming. However proper billing practices are essential to ensure you receive timely reimbursement for your services and remain compliant with insurance regulations.

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Compliance Medical Billing Services Medical Billing Medical Billing Outsourcing 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. Medicare and Medicaid: Medicare and Medicaid are government-funded healthcare programs that provide coverage to millions of Americans.

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Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Compliancy Group

FEBRUARY 12, 2024

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

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Fraud Medicare Medicare US Department of Health and Human Services 52

Medisys Compliance

FEBRUARY 10, 2025

This guarantees compliance and appropriate reimbursement. About Medisys Data Solutions (MDS) At Medisys , we specialize in simplifying billing for mental health providers. With our in-depth understanding of Medicare policies, CPT coding, and compliance standards, we ensure accurate claims submissions and maximize your reimbursements.

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Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JULY 5, 2022

What is Medicare Overpayment? A Medicare overpayment exceeds regulation and statute properly payable amounts. When Medicare identifies an overpayment, the amount becomes a debt a healthcare provider owes the federal government. Based on this new information, CMS takes action to recover the mistaken Medicare payment.

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Overpayments Overpayment Medicare Medicare 52

Medisys Compliance

NOVEMBER 1, 2023

Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry. Common errors of charge entry in medical billing Incorrect coding is a prevalent error in charge entry.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59