Document Informed Consent Medical Billing 
Medisys Compliance
APRIL 11, 2022
Billing for Ambulatory Surgery Centers (ASCs) is tightly regulated by numerous federal as well as state-level regulatory authorities. Complete documentation will support all procedure codes your billed and will provide complete picture for payers. Pre-operative medical record documentation. Discharge documentation.
Medisys Compliance
FEBRUARY 13, 2024
In progress notes, document session duration, interventions, and treatment plan goals. When family members are involved, utilize specific code modifiers (-96, -97) and submit detailed clinical documentation demonstrating medical necessity. Ensure informed consent is obtained for treatment and billing practices.
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Medisys Compliance
FEBRUARY 29, 2024
Ensuring Documentation Accuracy Proper documentation remains the cornerstone for successful reimbursement in virtual care: Detail the Virtual Encounter: Document the nature of the virtual visit, including the specific technology used, the duration of the interaction, and any pertinent clinical findings.
Kaiser Health News
MAY 31, 2022
And, importantly, ask to see documents ahead of time. Melville said that a health system billing representative told her that among the papers she signed at the hospital on the day of her procedure was one saying that if a polyp was discovered, the procedure would become diagnostic. Tell us about it !
MedTrainer
JANUARY 26, 2024
Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information. Non-compliance includes improper hand hygiene, inadequate sterilization of medical equipment, and poor sanitation practices.
Medisys Compliance
JULY 23, 2024
CPT Code 77427: This code for radiation treatment management has been revised to better delineate between simple and complex treatment plans, ensuring appropriate billing for the level of service provided. Compliance and Documentation Tips Accurate documentation is crucial for compliance and reimbursement in radiation oncology billing.
Medisys Compliance
AUGUST 20, 2024
Common codes include: 90832: Psychotherapy, 30 minutes 90834: Psychotherapy, 45 minutes 90837: Psychotherapy, 60 minutes 90791: Psychiatric diagnostic evaluation 90792: Psychiatric diagnostic evaluation with medical services These codes must be selected based on the time spent and the complexity of the service provided.
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