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

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

APRIL 8, 2025

Understanding Psychiatric Billing Services Psychiatric billing is a specialized branch of medical billing that focuses on mental and behavioral health services. Managing prior authorization for services that require insurer approval. Some psychiatric services require modifiers (e.g.,

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance HIPAA 59

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

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.

Medical Billing 98

Medical Billing Medical Billing Services Doctors Medical Billing Outsourcing 98

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

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.

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Medicare Medicare Medical Billing 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

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

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 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

SEPTEMBER 23, 2022

If you want to toss away the challenge of medical billing claims getting denied, the best way is to shoulder these responsibilities and complex tasks to the medical billing companies. Why choose Medisys Data Solutions for radiology billing services? What are you waiting for?

Medical Billing Services 98

Medical Billing Services Medical Billing Medical Billing Outsourcing HIPAA 98

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. BHI services encourage a holistic approach to patient care, enhancing outcomes through coordinated efforts.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Fraud 59

Medisys Compliance

SEPTEMBER 12, 2022

Medical billing is almost always a time-consuming, perplexing, and stressful experience with a lot of room for error in any typical practice. Without the proper assistance, the documentation required to run a sustainable strategy can quickly become overwhelming. Nearly all billing software’s is familiar to us.

Medical Billing Services 98

Medical Billing Services Medical Billing Hospitals Medical Billing Outsourcing 98

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. The challenge lies in the sheer variety and specific use cases of modifiers relevant to cardiology.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 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

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

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 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.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Informed Consent Nurses 52

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.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Fraud Medical Billing Services 52

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. Finally, Medicare Part B covers a range of preventive services (e.g.,

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 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 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

MAY 22, 2024

Optimizing Your Workflow for Accurate Billing Verify Patient Insurance and Benefits: Before each session, confirm the patient’s insurance is active and understand their mental health coverage details (deductibles, copays, covered services). Detailed Documentation: Maintain thorough notes for each session.

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Compliance Medical Billing Services Medical Billing Medical Billing Outsourcing 59

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

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.

Medical Billing 98

Medical Billing Medical Billing Services Medical Billing Outsourcing Doctors 98

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

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

OCTOBER 17, 2022

Any underpayments can be discovered at the correct time by checking the payments received from all insurers and comparing them to the bills submitted. Early discovery can help with timely claim submission or document rectification, which can result in full payout by the insurers.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

OCTOBER 21, 2022

Provider credentialing documents should be submitted and tracked depending on insurance plan criteria. Without the assistance of a medical billing professionals, the process of medical billing is a challenging subject to comprehend and it may be challenging to stay current with changes in this field.

Medical Billing 105

Medical Billing Medical Billing Services Medical Billing Outsourcing COVID-19 105

Medisys Compliance

JUNE 13, 2024

Employ techniques like: Time-based coding: For visits exceeding 50 minutes, document counseling and coordination of care time meticulously. Medical Decision Making (MDM): Clearly document the complexity of medical history, examination findings, and decision-making process to select the appropriate E/M level.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing 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. Eligibility Issues: Patient insurance coverage may be inactive, lack specific benefits, or require prior authorization for certain services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

DECEMBER 29, 2022

By ensuring timely and correct documentation for coding and billing cases and sufficient revenue cycle staffing, work toward timely, accurate documentation. Your practice can efficiently reduce AR days by partnering with Medisys Data Solutions for accounts receivable management services.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

NOVEMBER 3, 2022

The billing team did not follow up with the address denials. Lack of document filing and scanning techniques resulted in no record collections. You can choose the level of support your office needs from our range of medical billing services for radiology practices , whether you need assistance regularly, occasionally, or occasionally.

Medical Billing Services 98

Medical Billing Services Medical Billing Outsourcing Medical Billing Compliance 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. Experience is the last but not least!

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

JANUARY 23, 2025

Service delivery mode (e.g., 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. video vs. audio-only).

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Medical Billing Outsourcing Medicare Medicare Medical Billing 59