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.

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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.

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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.

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

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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.

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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.

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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.

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Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. In 2024, several significant updates have been introduced that directly impact the billing processes for internal medicine.

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Medisys Compliance

JULY 5, 2022

What is Medicare Overpayment? A Medicare overpayment exceeds regulation and statute properly payable amounts. When Medicare identifies an overpayment, the amount becomes a debt a healthcare provider owes the federal government. Based on this new information, CMS takes action to recover the mistaken Medicare payment.

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Overpayments Overpayment Medicare Medicare 52

Medisys Compliance

JULY 25, 2022

Recently published watchdog report found that private Medicare plans routinely rejected claims that should have been paid and denied services that reviewers found to be medically necessary. For detailed understanding we shared observations of OIG where they found that some of the claims were wrongly denied by private Medicare plans.

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Medisys Compliance

JULY 29, 2022

We are sharing Medicare guidelines for laser-assisted cataract surgery billing from a last updated CMS document. We shared this document as it was published, to avoid any error while billing for laser-assisted cataract surgery. Medicare Policy Regarding Non-Covered Services.

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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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Physician Credentialing Company

NOVEMBER 15, 2024

In this guide, we will discuss the 36415 CPT code description and its reimbursement and billing requirements. PCC guide will also help you to understand the procedure billed by 36415 CPT code and documentation requirements. It will be billed using another CPT code or adding a modifier along with 36415 in the bills.

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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.

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Medisys Compliance

JUNE 10, 2022

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT).

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Medisys Compliance

JUNE 30, 2022

Medicare Coverage for MNT. The Social Security Act authorizes Medicare Part B coverage of Medical Nutrition Therapy services (MNT) for certain beneficiaries who have diabetes or a renal disease. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding.

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Medisys Compliance

JULY 13, 2023

Medicare recognizes the importance of diabetes self-management training and offers coverage for eligible beneficiaries. However, there are specific guidelines and conditions that need to be met for Medicare billing. Diabetes Education Billing Guidelines for Medicare Who May Furnish the Training?

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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.

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Healthcare Compliance Blog

APRIL 12, 2022

An owner and operator of three Missouri billing and claims processing companies has pled guilty to not paying over nearly $2 million in payroll and employment taxes over a four-year period. Document that these trainings occurred, and file the signed document in each employee’s education file.

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Medisys Compliance

APRIL 10, 2024

Understanding Coverage and Coding Medicare reimbursement for HBOT hinges on the diagnosis. Optimizing Your Reimbursement Strategy Documentation is Key: When seeking reimbursement for HBOT, meticulous documentation is essential. Don’t let the complexities of HBOT billing hinder your ability to offer this vital treatment.

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Medisys Compliance

APRIL 25, 2024

Introduction The ever-evolving world of healthcare billing can feel complex, and with the introduction of MACRA (Medicare Access and CHIP Reauthorization Act) in 2015, cardiology practices have faced some adjustments. MACRA replaced the previously used Sustainable Growth Rate (SGR) formula for Medicare physician payments.

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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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Physician Credentialing Company

SEPTEMBER 24, 2024

In this article, PCC guidelines help you to know what the G0463 CPT code is and what it covers in medical services. You will also be able to learn the significance of accurate billing for code G0463 in the hospital setting. The medical billing process , potential challenges, and compliance terms will also be discussed in this article.

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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. Understanding the Bill and its Implications The mental health omnibus bill encompasses a multitude of provisions aimed at bolstering mental health resources and services.

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Medisys Compliance

JULY 16, 2024

This article aims to provide a detailed overview of mental health billing solutions, helping providers streamline their billing processes and improve their revenue cycle management. Understanding Mental Health Billing Mental health billing differs from general medical billing in several key ways.

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Physician Credentialing Company

SEPTEMBER 30, 2024

Medical billing and coding are crucial processes in the healthcare sector. Descriptions of medical bills are not directly written on them. Codes are mentioned on the bills, and each code defines a specific treatment or medical service. How documentation and coding for CPT 93306 should be done?

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Medisys Compliance

APRIL 5, 2024

Introduction Accurate billing for Myocardial Perfusion Imaging (MPI) is crucial for cardiologists and medical billing specialists alike. Medisys , a leading provider of accurate cardiology billing services, presents this comprehensive guide to ensure you receive proper reimbursement for MPI procedures.

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Physician Credentialing Company

NOVEMBER 4, 2024

Diagnosis, treatment and follow-ups are billed using the specific billing codes. These codes are used in medical bills to get reimbursement from the insurance companies. In this article, we will learn the basics of oncology medical billing and its necessary billing guidelines.

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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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Medisys Compliance

FEBRUARY 7, 2022

Medicare pays a physician for an Annual Wellness Visit (AWV) service. This visit is planned to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA) which is covered once every 12 months by Medicare. Medicare also waives the AWV coinsurance or co-payment and the Medicare Part B deductible.

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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!

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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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Physician Credentialing Company

OCTOBER 26, 2024

In terms of medical billing and coding, accurate and error-free performance is critical for smooth functioning as well as timely reimbursement. These codes provide universality about the medical services rendered to patients among all relevant parties. There are a few things which should be documented properly.

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Medisys Compliance

AUGUST 23, 2024

The compliance process involves understanding and following payer-specific guidelines, particularly those set by Medicare. Example: Medicare’s guidelines for oncology coding are detailed and specific. Example: Medicare guidelines often change, particularly regarding how certain treatments like radiation therapy should be coded.

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