Medisys Compliance

SEPTEMBER 21, 2022

Scores of surgery centers have been financially crippled during the pandemic, a majority of the centers have worsened situations due to poor documentation in the ASC medical billing and coding. Unreconciled billing : Reconcile billing is very significant to assure that all the cases already performed have been billed.

Medical Billing Services 98

Medical Billing Services Medical Billing Medical Billing Outsourcing 98

Medisys Compliance

OCTOBER 25, 2022

Cutting down on time: Seeking help from a medical billing company might speed up the process of finishing a diagnosis or treatment. Take care of patients, while the medical billing company takes care of the complex billing system. Are you reluctant to resort to a medical billing company for your wound care center?

Medical Billing 105

Medical Billing Medical Billing Outsourcing Hospitals Doctors 105

HIT Consultant

JULY 26, 2023

Overwhelmed (30%): The Overwhelmed segment expressed significant stress and anxiety when managing healthcare and medical bills. Participants in this group desired a simplified payment process and assistance in understanding complex insurance documents.

Medical Billing 98

Medical Billing Fraud Health Insurance Doctors 98

HIT Consultant

MARCH 16, 2023

So, providers need to stay focused on the coding changes as it impacts physician billing revenue cycle substantially. This article shares some insights on the latest coding changes and how physicians can navigate their medical bills to stay financially successful in the modern healthcare industry. American Medical Association.

Medical Billing 98

Medical Billing Medicare Medicare Nurses 98

Medisys Compliance

DECEMBER 27, 2024

Challenges in Billing for Minimally Invasive Surgery Medical Necessity and Documentation Insurance Scrutiny: MIS procedures are often closely examined by payers to ensure they meet medical necessity criteria. Be aware of payers that require specific documentation for new technologies (e.g.,

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance Medical Billing Services 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. In cases where an appeal is needed (e.g.,

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

HIT Consultant

MAY 9, 2022

From documenting clinical care to filing medical claims and registering patients, paper documents have been entrenched in healthcare processes since the inception of modern hospitals. Going digital in healthcare requires the adoption of electronic documents. The PDF format also integrates easily into EHR platforms.

FDA 98

FDA COVID-19 Public Health Compliance 98

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. Including relevant documentation (e.g.,

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 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. The diagnosis must justify the procedure as medically necessary. are performed.

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

DECEMBER 24, 2024

However, billing for teletherapy services can be complex, requiring a deep understanding of coding, documentation, and payer-specific policies. Teletherapy Billing: A Comprehensive Guide for Providers 1. Some of the documentation tips for CPT codes include: Include the start and end time of the session. Zoom, Doxy.me).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

MARCH 31, 2025

Crucially, every service billed to Medicare must meet medical necessity criteria , meaning it must be reasonable and necessary for the diagnosis or treatment of the patient’s condition. annual wellness visits, screenings), each with specific coding and billing guidelines that must be followed.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

MARCH 24, 2025

Here are key urgent care coding guidelines to keep in mind: Time-Based Billing: For time-based E/M codes, accurate documentation of face-to-face time with patients is critical. For example, if billing for prolonged services, ensure time spent is clearly documented. How to improve urgent care billing accuracy?

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

DECEMBER 15, 2024

Diagnostic radiology coding requires precision and an in-depth understanding of clinical documentation and compliance guidelines. To meet the minimum documentation requirements: Include Patient Identification: Ensure the report includes the patient’s name, date of birth, and unique identifiers. symptoms or suspected conditions).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

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. Accurate rate assessment is vital for effective group therapy billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing 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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

MARCH 9, 2025

Navigating the complexities of medical billing is a constant challenge, especially for mental health providers. For outpatient mental health practices, accurate billing is not just about financial stability; its essential for ensuring patients can access the crucial counseling and therapy services they need.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Services 59

Healthcare IT Today

NOVEMBER 9, 2024

Read more… Firsthand Experience With Sunoh’s AI Medical Scribe. Geli Brown at Dallas-based HHM Health talked to John about the clinical and financial benefits of using ambient clinical documentation – and how there wasn’t much need for training. Read more… CIO Podcast : An Award Winner in Health Equity.

Medical Billing 93

Medical Billing Ransomware Governance 93

Medisys Compliance

MAY 4, 2023

Introduction to Oncology Medical Billing Oncology is a specialized field of medicine that deals with the diagnosis, treatment, and management of cancer. Effective medical billing is crucial for the financial sustainability of oncology practices. This can have a significant impact on the financial health of the practice.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 52

Medisys Compliance

JUNE 11, 2024

You’re passionate about delivering exceptional care to your patients, but the administrative burden, particularly medical billing, can quickly become overwhelming. This is where medical billing services for small practices come in. Invest in a medical billing service and get paid faster!

Medical Billing Services 59

Medical Billing Services Medical Billing Medical Billing Outsourcing HIPAA 59

Medisys Compliance

FEBRUARY 20, 2025

Clearly document the terms of any payment plan agreement. Develop and Implement a Clear Co-pay Collection Policy To ensure consistency and clarity, it is essential to formalize all co-pay collection procedures into a written policy document. Develop a comprehensive written co-pay collection policy document.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Patient Satisfaction Medical Billing Services 59

Medisys Compliance

JANUARY 30, 2025

Procedure-Specific Coverage: Check for radiology-specific coverage, including MRI, CT scan, and X-ray billing insurance verification. Authorization Requirements: Determine if the procedure requires pre-certification and what documentation is needed.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Patient Satisfaction 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. Implement Regular Audits: Regularly audit your billing processes to identify and address any coding inconsistencies or documentation gaps.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

MRO Compliance

JANUARY 16, 2025

Navigating the No Surprises Act Unexpected medical bills remain a significant pain point for patients. Take Mike, who received a $2,500 bill after surgery because one specialist was out-of-network, highlighting the need for greater transparency. These efforts align with CMS initiatives while fostering long-term member loyalty.

Overpayments 130

Overpayments Overpayment Regulatory Compliance Patient Satisfaction 130

Medisys Compliance

MARCH 2, 2025

Documentation must include session start and end times. CPT Code 99214: Established Patient E/M Visit (Level 4) Applied for medication management visits with moderate-to-high complexity. Ensure documentation reflects medical decision-making (MDM) and supports the level of service.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

NOVEMBER 21, 2024

Orthopedic surgery billing is a highly specialized aspect of medical billing, requiring precise coding, documentation, and adherence to insurance guidelines. Accurate billing not only ensures reimbursement but also reduces the risk of claim denials. Documentation Expectations: Include imaging results (e.g.,

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance 59

Medisys Compliance

FEBRUARY 19, 2025

Accurate Session Documentation and Coding Behavioral health RCM heavily relies on precise documentation and coding for claim approvals. How to implement this daily: Train clinicians to document details like session duration, type of therapy, and patient progress using standardized templates.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

DECEMBER 30, 2024

Obsessive-compulsive disorder Ensure documentation matches the diagnosis and treatment provided. Remote Therapeutic Monitoring (RTM) and CBT With the integrating of digital health solutions, CBT billing in 2024 increasingly incorporates Remote Therapeutic Monitoring (RTM). Common ICD-10 codes include: F33.1: ICD-10 Code F51.01

Medical Billing Outsourcing 59

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. Are there any missing supportive documents or records?

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

Medisys Compliance

JANUARY 20, 2025

Strengthen Documentation Practices: Comprehensive and accurate documentation is critical for minimizing denials. Ensure that clinical notes align with the codes used for billing. Train staff to prepare effective appeal letters supported by detailed documentation to increase approval rates.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

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.

Medical Billing 59

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.

Medical Billing 52

Medical Billing Medical Billing Services Medical Billing Outsourcing Regulatory Compliance 52

Medisys Compliance

MARCH 21, 2025

But behind every effective treatment plan is the challenge of accurate documentation and billing. One of the most important concepts for physical therapists and practice owners to grasp is physical therapy billing units. You can bill more if you provide extensive treatment supported by detailed documentation.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medicare Medicare 59

Medisys Compliance

JANUARY 16, 2025

Providers must ensure that these services meet Medicares criteria for medical necessity. Documentation should support the need for these services, linking them directly to the patients diagnosis and treatment plan. Documentation Requirements Proper documentation is vital for compliant billing and successful reimbursement.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Fraud 59

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 10, 2025

Providers should take note of the following key points: Updated CPT codes for psychotherapy 2025: Existing codes such as 90832 (30-minute sessions), 90834 (45-minute sessions), and 90837 (60-minute sessions) now include expanded telehealth guidelines and refined documentation requirements. 90834 or 90837). 90834 or 90837).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Compliancy Group

JULY 18, 2024

Billing errors alone are causing significant financial losses for the healthcare industry, on the order of $935 million per week. 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.

Medical Billing 52

Medical Billing Compliance Fraud Compliance Officers 52