Medisys Compliance

NOVEMBER 16, 2023

Introduction Efficient medical billing is a critical aspect of managing a successful podiatry practice. Podiatrists, specializing in foot and ankle health, often face unique challenges in navigating the complex landscape of medical billing. This can help to reduce the number of errors and improve the accuracy of claims.

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Medical Billing Medical Billing Outsourcing Patient Satisfaction Health Insurance 59

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 Challenges in Alabama 1.

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Medical Billing Medical Billing Services Medical Billing Outsourcing Regulatory Compliance 52

Medisys Compliance

OCTOBER 16, 2023

Medical billing is an essential aspect of any healthcare facility’s operation, and when it comes to specialties like anesthesiology, it requires meticulous attention to detail. Reduced Administrative Burden: Outsourcing your billing to a professional company allows you to refocus on patient care.

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Medical Billing Medical Billing Outsourcing Compliance Medicaid 59

Medisys Compliance

MARCH 5, 2024

Payer Audits and Reimbursement Challenges in Cardiology Billing Common Challenges in Cardiology Billing Coding Complexity: Cardiology procedures often involve multiple components and intricacies that require accurate coding to reflect the level of service provided.

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Medical Billing Outsourcing Medical Billing Compliance Governance 105

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.

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Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

MARCH 31, 2023

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

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Medicaid Medicaid Licensing Medical Billing Outsourcing 52

Healthcare IT Today

SEPTEMBER 24, 2023

Data analytics platform Arcadia launched a point-of-care generative AI assistant to improve risk factor documentation. Biofourmis expanded Digital Clinical Trials to include data management automation and integration of clinical trial documentation.

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Medical Billing Department of Veterans Affairs Medicare Medicare 100

Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape.

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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

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).

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Medicaid Medicaid Medical Billing Outsourcing Licensing 52

Medisys Compliance

DECEMBER 10, 2024

Understanding Spine Surgery Billing Spine surgery billing involves multiple layers of documentation and coding to account for various procedures, instrumentation, and levels of the spine addressed. The accuracy of this billing process directly impacts reimbursement rates and the financial health of a practice.

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Medical Billing Medical Billing Outsourcing Compliance Medicaid 59

Medisys Compliance

DECEMBER 19, 2024

Outsourced billing services ensure accurate use of these codes and adherence to Medicares Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs). Improved Reimbursement Rates Efficient billing services maximize reimbursements by reducing claim denials and ensuring accurate documentation.

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Medical Billing Outsourcing Medicare Medicare Compliance 66

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). Reporting accurate data for cardiology-specific quality measures is crucial. MACRA regulations are subject to change.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

FEBRUARY 27, 2024

Key regulations include the Health Insurance Portability and Accountability Act (HIPAA), the Stark Law, the Anti-Kickback Statute, and regulations set forth by the Centers for Medicare & Medicaid Services (CMS) and private payers. Documentation Requirements Accurate and thorough documentation is essential for radiology billing compliance.

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Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

OCTOBER 18, 2023

Are you struggling to understand the details of CPT 93010 when it comes to medical billing and coding? In this essential guide, we will explain the complexities of this important procedure code, helping you to navigate cardiology billing and coding with confidence. Don’t worry!

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Medical Billing Medical Billing Outsourcing Medicaid Medicaid 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. This article provides a comprehensive overview of essential information for providers navigating CMS behavioral health billing guidelines.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

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. Efficient documentation practices and record-keeping systems.

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Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

MARCH 15, 2024

This article, brought to you by Medisys , a leading medical billing company, explores RIAS coding specific to urology practices. For proper reimbursement, ensure your medical records clearly document the specific hormone or substance measured in the RIA test. What is RIAS?

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Medical Billing Medical Billing Outsourcing Medicare Medicare 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

FEBRUARY 21, 2024

Billing Components of CPT Code 59400 Antepartum Care: Antepartum care includes all prenatal visits and services provided to the pregnant patient before delivery. Each antepartum visit should be documented thoroughly, including the history, physical examination, medical decision-making, and any procedures or interventions performed.

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Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

FEBRUARY 19, 2024

Diagnosis Drives Reimbursement: Accurately document diagnoses using ICD-10 codes that align with the group’s focus and individual client needs. Ensure diagnoses support the medical necessity of group therapy for each participant. If you treat Medicare or Medicaid patients, ensure you have the necessary knowledge and resources.

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Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

MARCH 7, 2024

Consequently, staying informed about these updates is imperative for healthcare professionals to accurately document and bill for services rendered. Similarly, revisions to existing codes may reflect updates in procedural techniques or changes in documentation requirements.

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Medical Billing Medical Billing Outsourcing Regulatory Compliance COVID-19 59

Medisys Compliance

JULY 26, 2022

The Centers for Medicare and Medicaid Services (CMS) is responsible for devising the audit strategy and enforcing it on a year-to-year basis. CMS also provides documents online to help you further understand the process in more detail. CMS also provides documents online to help you further understand the process in more detail.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

MAY 17, 2024

Medical Necessity: Payers may deny claims if they deem the service not medically necessary. This often involves providing clear documentation justifying the treatment plan. Missing or Incomplete Information: Claims with missing documentation or unclear notes may be denied for further review.

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Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 1, 2024

Documentation Requirements: Maintain thorough documentation of the telehealth encounter, including the communication method (video, audio-only, etc.), Patient Consent: Ensure patients have consented to receiving telehealth services and understand potential billing implications. Stay updated on your state’s regulations.

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Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

Medisys Compliance

AUGUST 27, 2024

This guide provides a detailed, technical overview of the key aspects involved in CPT coding for PT, helping you optimize your practice’s billing processes. Overview of CPT Codes in Physical Therapy CPT codes are used to describe medical, surgical, and diagnostic services.

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Medical Billing Outsourcing Medical Billing Medical Billing Services Compliance 59

Medisys Compliance

MAY 12, 2023

As with any medical specialty, accurate documentation and coding of services provided is critical to ensure proper billing and reimbursement. The Current Procedural Terminology (CPT) codes provide a standardized system for coding and billing medical services, and there are many specific codes related to endocrinology.

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Medical Billing Outsourcing Medical Billing Compliance Medicaid 97

Medisys Compliance

MAY 27, 2024

Introduction For gastroenterology professionals, navigating the complexities of medical billing can be a daunting task. However, mastering GI billing is crucial for ensuring timely reimbursements and maximizing your practice’s revenue. 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

JANUARY 21, 2024

Introduction The mental health omnibus bill, recently passed by Congress, marks a significant milestone in improving access to mental healthcare in the United States. Documentation Requirements: Documentation demands could increase to justify new services and comply with parity mandates.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

JULY 17, 2024

The revised codes now emphasize the duration and specificity of the infusion, requiring detailed documentation of the time and type of drugs administered. This change aims to simplify billing and reduce the chances of claim denials. Documentation Requirements Detailed documentation is now more critical than ever.

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Medical Billing Outsourcing Medical Billing Compliance Medicare 59

Medisys Compliance

APRIL 10, 2024

Covered conditions include diabetic foot ulcers with specific criteria (documentation of non-healing for at least 30 days with standard therapy is crucial) as well as gangrene, decompression sickness, gas embolism, carbon monoxide poisoning, and compromised flaps in crush injuries. diabetic foot ulcer – E11.47).

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

OCTOBER 20, 2023

Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. Thorough Documentation: Comprehensive and accurate documentation is the cornerstone of proper coding and billing.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Telemedicine 59

Medisys Compliance

JANUARY 4, 2024

Code selection hinges on the time spent, complexity of medical decision-making, and four key elements: history, examination, medical decision-making, and counseling/coordination of care. Required Documentation Solid medical documentation is your armor against denials and audits.

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Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 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

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.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

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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