Medisys Compliance

JANUARY 16, 2025

Behavioral health providers play a critical role in addressing mental health challenges, but navigating the complexities of billing can be daunting. The Centers for Medicare & Medicaid Services (CMS) provides comprehensive behavioral health billing guidelines, which can be overwhelming due to their technical nature and breadth.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Fraud 59

Medisys Compliance

MARCH 19, 2025

ICD-10 codes, on the other hand, establish the medical necessity for these procedures, indicating the patient’s diagnosis or the reason for the radiological examination. For instance, a specific ICD-10 code might be required to demonstrate the medical necessity for an advanced imaging study like a PET scan.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 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

MRO Compliance

JANUARY 16, 2025

To address these gaps, the Centers for Medicare & Medicaid Services (CMS) now mandates the use of FHIR-based APIs for data sharing. Navigating the No Surprises Act Unexpected medical bills remain a significant pain point for patients. These efforts align with CMS initiatives while fostering long-term member loyalty.

Overpayments 130

Overpayments Overpayment Regulatory Compliance Patient Satisfaction 130

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. Unlike general medical billing, psychiatric billing involves unique coding practices, session-based reimbursements, and strict documentation requirements.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance HIPAA 59

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. Under this rule: You must provide at least 8 minutes of a timed service to bill one unit.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medicare Medicare 59

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. CMS Announcement for Revised Coverage. Reduced the eligibility criteria for the reading radiologist.

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Healthcare IT Today

FEBRUARY 22, 2023

There’s widespread consensus that payments to Medicare Advantage Organizations (MAOs) are a mess. These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees , operate on the cutting edge of health care and suffer serious problems in data collection and billing.

Medicare 117

Medicare Medicare Overpayments Overpayment 117

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

JANUARY 23, 2025

This article provides a comprehensive overview of telehealth mental health billing updates for 2025, addressing key questions, coding changes, and regulatory updates that impact billing practices. Will Medicare Stop Paying for Telehealth in 2025? CPT codes are essential for billing telehealth services accurately.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 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

MARCH 24, 2025

Unlike traditional primary care, urgent care centers handle a mix of walk-in patients with varying levels of acuity, which creates a complex billing environment. Efficient billing ensures your urgent care facility gets reimbursed accurately and promptly. In such cases, outsourcing urgent care billing services can be a viable solution.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 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

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 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

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

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

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

FEBRUARY 14, 2022

Compliant and accurate coding backed by comprehensive clinical documentation is crucial for ensuring physicians receive the highest level of reimbursement to which they are entitled. In this article, we have listed medical billing challenges in Geriatrics with respect to various place of service. Ambulatory Setting.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare 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

Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Nearly three in four (72%) patients say affordability is the biggest challenge to paying larger healthcare bills , according to a survey from Cedar.

Medical Billing 99

Medical Billing Department of Veterans Affairs Medicare Medicare 99

Medisys Compliance

APRIL 8, 2025

Understanding Laboratory Coding in Medical Billing What is Laboratory Coding? CMS Guidelines The Centers for Medicare & Medicaid Services (CMS) plays a significant role in laboratory billing. Documentation Requirements Proper documentation is crucial to support the medical necessity and accuracy of laboratory billing.

Medical Billing Outsourcing 52

Medical Billing Outsourcing COVID-19 Medical Billing Medicare 52

Medisys Compliance

JULY 27, 2023

Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. This helps maintain compliance and reduce errors.

Medical Billing 52

Medical Billing Telemedicine Medicaid Medicaid 52

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

JULY 26, 2022

Hospital administrators, physicians, and members of every healthcare office billing department know that if their practice or hospital provides services to Medicare patients, they must be prepared to potentially receive a request for an audit. CMS also provides documents online to help you further understand the process in more detail.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 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

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. While accurate billing ensures fair reimbursement and uninterrupted patient care, billing mistakes can have significant consequences, leading to financial losses, claim denials, and even penalties.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

MARCH 5, 2024

Understanding the Landscape of Cardiology Billing Cardiology billing encompasses a wide range of services, including diagnostic testing, interventional procedures, and ongoing patient care. Only complete or sufficient documentation can result in claim denials or downcoding.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

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

Medisys Compliance

MARCH 12, 2025

Cardiology practices frequently interact with a diverse landscape of payers – from Medicare and Medicaid to a multitude of commercial insurance companies. Incomplete Documentation The pressure of patient care often overshadows the equally important task of detailed and precise documentation by physicians. Contact us today!

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

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. Now let’s understand a few basic answers before we jump straight into the details of wound care billing!

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services HIPAA 98

Medisys Compliance

AUGUST 1, 2022

Medicare enrollment is the first step towards becoming Medicare provider or supplier. CMS has shared complete process flow chart for successful Medicare enrollment. Being leading medical billing company, Medisys Data Solutions helped lots for providers and suppliers in successful Medicare enrollment.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 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.

Medical Billing Services 52

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.

Medical Billing Services 52

Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Physician Credentialing Company

DECEMBER 20, 2024

However, the question arises whether there is any condition in which a non-credentialed provider can be billed independently or under a supervising provider in medical billing. There are a lot of federal and payer-specific policies about billing non-credentialing providers.

Medical Billing 52

Medical Billing Compliance Malpractice Regulatory Compliance 52

Physician Credentialing Company

JANUARY 6, 2025

CPT codes hold a significant place in medical billing and coding. All patient care services, i.e., diagnostic, therapeutic, or management services, are represented by their specific codes in the medical bills. In this article, we will learn the description of CPT code 93970 and the medical indications of its use.

Medical Billing 40

Medical Billing Medicare Medicare Compliance 40