Medisys Compliance

FEBRUARY 29, 2024

This article explores into the key considerations for optimizing billing for virtual care in primary care, ensuring you receive proper reimbursement for your services. Understanding Virtual Care Billing Codes Familiarizing yourself with the specific billing codes assigned by Medicare and private payers is paramount.

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Medisys Compliance

FEBRUARY 13, 2024

When family members are involved, utilize specific code modifiers (-96, -97) and submit detailed clinical documentation demonstrating medical necessity. Remember, billing for less than 53 minutes under this code or submitting vague documentation can lead to claim denials.

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Medisys Compliance

JULY 23, 2024

Verify Coding Updates: Regularly review updates from the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) to stay current with coding changes. Implement these changes promptly to avoid billing errors and potential audits.

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Medisys Compliance

AUGUST 20, 2024

Behavioral Health Billing Guidelines Billing for behavioral health services is governed by specific guidelines that providers must follow to ensure compliance and avoid claim denials. These guidelines cover everything from who can bill for services to the required documentation and coding practices.

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Medisys Compliance

APRIL 11, 2022

Complete documentation will support all procedure codes your billed and will provide complete picture for payers. In this article, we shared list of required documents for ambulatory surgery centers who are beneficiaries of Medicare. Pre-operative medical record documentation. Informed consent. Nurses’ notes.

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