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

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

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

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

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

FEBRUARY 24, 2025

Accurate rate assessment is vital for effective group therapy billing. Key Documentation Tips for Accurate Billing Beyond simply recording the date and CPT code, comprehensive documentation is crucial to substantiate the medical necessity and therapeutic value of each group session for accurate group therapy billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 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

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

Medisys Compliance

MARCH 19, 2025

Accurate and thorough documentation is crucial for both CPT and ICD-10 coding. The radiologist’s report must clearly articulate the findings and the reason for the study to support the codes billed. Inadequate or ambiguous documentation can lead to coding errors and subsequent claim denials.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

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

Medisys Compliance

MARCH 12, 2025

This might involve utilizing payer portals, eligibility verification systems, or even contacting payer representatives to clarify specific coding or documentation requirements for complex cardiology procedures. Explore how Medisys specialized cardiology billing solutions can streamline your revenue cycle and maximize your reimbursements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 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

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

MARCH 18, 2025

Behavioral and mental health practices face unique billing challenges that are very different from other medical specialties. Complex documentation requirements, evolving payer guidelines, and the nuances of time-based coding can make managing the revenue cycle a daunting task for outpatient mental health providers.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medical Billing HIPAA 59

Medisys Compliance

JANUARY 23, 2025

Compliance with coding and documentation requirements. Providers should regularly review fee schedules to ensure accurate billing and optimal reimbursement. Conclusion The landscape of telehealth mental health billing in 2025 presents both opportunities and challenges. physicians vs. non-physician mental health professionals).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare 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

JANUARY 29, 2025

The Medicare & Medicaid Maze: Why Cardiology Billing is So Complex Cardiology billing involves a unique set of challenges. Procedures are often complicated, requiring precise coding and documentation. Medicare and Medicaid add another layer of complexity with their specific rules, reimbursement rates, and frequent updates.

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Medicaid Medicaid Medicare Medicare 59

Medisys Compliance

MARCH 9, 2025

Best Practices for Medicare Mental Health Billing To ensure compliant and efficient Medicare billing, adhere to these best practices: Strictly Follow CMS Guidelines: Stay up-to-date with the Centers for Medicare & Medicaid Services (CMS) guidelines for behavioral health billing.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Services 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.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

FEBRUARY 28, 2025

Documentation must clearly support the use of contrast when billing codes designated “with contrast.” Accurate billing requires selecting the correct code based on the documented use (or non-use) of contrast. Medical necessity must justify the use of contrast.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services 59

Medisys Compliance

APRIL 29, 2022

In this article, we discussed about avoiding common documentation pitfalls especially three of them: Cloning Medical Records, Conflicting Information, and Overstuffed Progress Note. Cloning Medical Records. To know more about our medical billing and coding services, contact us at info@medisysdata.com/ 302-261-9187.

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Medical Billing Medical Billing Outsourcing Fraud Medical Billing Services 52

Medisys Compliance

SEPTEMBER 29, 2022

This is exactly wherein the professional optometry billing companies step into the picture to toss away complex and stressful tasks. When it comes to denial management for optometrists, these physicians face scores of challenges, some of them are as follows: Bad or missing documentation. Failure to have a proper financial policy.

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Medicare Medicare 98

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.

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Medical Billing Outsourcing Medical Billing Informed Consent Nurses 52

Medisys Compliance

FEBRUARY 19, 2025

Maximize appropriate coding: Explore opportunities to utilize more specific and higher-valued codes when clinically justified and properly documented. The post Navigating the Medicare Reimbursement Cuts: A Radiology Practice Guide for 2025 and Beyond appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

FEBRUARY 25, 2025

Distinguishing between drug-eluting stents (DES) and bare-metal stents is not directly coded with different CPTs but is crucial for documentation and sometimes payer-specific considerations. Radial vs. femoral approach does not change the CPT code but should be documented. Multiple Vessel Procedures (e.g., Valvuloplasty (e.g.,

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 52

Medisys Compliance

DECEMBER 21, 2022

The problem is that not all forms of wound care are paid for by insurance, and those that are reimbursed require a number of administrative tasks like correct documentation, precise detailing, and accurate coding. The following are necessary for wound care billing and coding: It is necessary to give a thorough account of the injury.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services HIPAA 98

Medisys Compliance

JANUARY 23, 2023

Measures that can be taken to prevent errors that lead to denials include making sure clinical personnel are well-trained on the most recent ICD-10 coding updates, continuing the education of coders, and making sure staff members communicate with doctors when documentation problems arise.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

DECEMBER 29, 2022

This can be swiftly done with medical billing outsourcing services. From doctors, nurses, and other clinicians to the medical billing and coding team and front office workers, everyone has a job to do. The post How To Reduce AR Days With Oncology Billing? Set a deadline for filing clean claims.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

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

JUNE 27, 2022

MLN Document: Screening for Lung Cancer with Low Dose Computed Tomography (LDCT). The post Revised Medicare Guidelines for Lung Cancer Screening Using LDCT appeared first on Leading Medical Billing Outsourcing Services Company in the USA. Receive a written order for lung cancer screening with LDCT.

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Medisys Compliance

AUGUST 24, 2022

Are you tired of looking at your billing and are stuck in the rut of managing documents of medical billing? Is medical billing taking a toll on your practice and in turn hovering over the reimbursements? Both patients and doctors may find the billing procedure to be very onerous.

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Medical Billing Medical Billing Services Doctors Medical Billing Outsourcing 98

Medisys Compliance

FEBRUARY 16, 2025

Accurate coding and documentation become even more critical in maximizing reimbursements. The post How Value-Based Care is Changing Medical Billing appeared first on Leading Medical Billing Outsourcing Services Company in the USA. Conversely, poor performance can result in financial penalties.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Patient Satisfaction Payment Systems 59

Medisys Compliance

AUGUST 26, 2022

Maintain accurate records of your patients: To assist clinicians in streamlining patient record documentation, CMS announced a number of modifications to E/M documentation beginning in 2019. It is time for you to shift to Medisys Data Solutions for outsourcing medical billing needs.

Medical Billing 98

Medical Billing Medical Billing Services Medical Billing Outsourcing Doctors 98

Medisys Compliance

MAY 31, 2024

Understanding relevant modifiers for chemotherapy billing is crucial (e.g., Importance of Accurate Documentation Clear and detailed medical documentation is vital for justifying the medical necessity of chemotherapy services and supporting claim submissions. modifier 99 modifier for concomitant services).

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medical Billing Services Hospitals 64

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