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

FEBRUARY 24, 2025

Understanding modifier application can optimize your group therapy billing. Reimbursement rates for CPT code 90853 in group therapy billing vary significantly. Factors influencing reimbursement include the payer type ( Medicare , Medicaid, commercial insurance), geographic location, and specific contract agreements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

MARCH 31, 2023

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

Medicaid 52

Medicaid Medicaid Licensing Medical Billing Outsourcing 52

Medisys Compliance

APRIL 8, 2025

Ensure they are familiar with CPT codes for psychotherapy , evaluations, and medication management. Experience with Insurance Companies and Credentialing: A reliable billing partner should have experience working with Medicare, Medicaid, and commercial insurance payers.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance HIPAA 59

Medisys Compliance

APRIL 19, 2023

The Medicaid program in Florida provides medical services and assistance to low-income individuals and families. To participate in the Medicaid program, healthcare providers must meet several general requirements set forth by the Agency for Health Care Administration (AHCA).

Medicaid 52

Medicaid Medicaid Medical Billing Outsourcing Licensing 52

Medisys Compliance

MARCH 18, 2025

H2019) for Medicaid behavioral health programs; and ICD-10 codes for mental health diagnoses (F-codes). We ensure correct modifiers are used, such as modifier -25 when billing an E/M service with psychotherapy or modifier GT or 95 for telehealth services. Ready to streamline your billing process?

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medical Billing HIPAA 59

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. Explore how Medisys specialized cardiology billing solutions can streamline your revenue cycle and maximize your reimbursements. Contact us today!

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. This article is for informational purposes only.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 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

APRIL 8, 2025

CMS Guidelines The Centers for Medicare & Medicaid Services (CMS) plays a significant role in laboratory billing. Key Guidelines for Laboratory Coding Accurate laboratory coding requires adherence to specific guidelines from various regulatory bodies and payers.

Medical Billing Outsourcing 52

Medical Billing Outsourcing COVID-19 Medical Billing Medicare 52

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. MLN Document: Screening for Lung Cancer with Low Dose Computed Tomography (LDCT).

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Medisys Compliance

MARCH 5, 2024

By partnering with Medisys, primary care practices can streamline their billing processes, enhance financial performance, and focus on delivering exceptional patient care. The post Navigating Payer Audits and Reimbursement Challenges in Cardiology Billing appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

APRIL 25, 2024

MIPS focuses on four key performance categories: Quality: This measures the quality of care you provide to your patients based on specific metrics established by the Centers for Medicare & Medicaid Services (CMS). Reporting accurate data for cardiology-specific quality measures is crucial.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

MAY 20, 2024

Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures. Payer Websites: Insurance companies and government agencies (Medicare, Medicaid) often publish reimbursement rates on their websites.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

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.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

FEBRUARY 19, 2024

Additional Considerations In-network vs. out-of-network billing: Understand the differences in reimbursement rates, patient responsibility, and billing procedures for in-network and out-of-network claims. Medicare and Medicaid billing: These programs have specific regulations and coding requirements for group therapy billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

JANUARY 11, 2024

Audits: Increased scrutiny from Medicare and Medicaid for potential coding discrepancies. Proper medical terminology and abbreviations. Regulatory Landscape Medicare and Medicaid regulations change frequently, demanding constant adaptation. Failure to keep up can result in: Incorrect billing practices lead to denials and audits.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

APRIL 30, 2024

This article provides a comprehensive guide for anesthesiologists and providers on telehealth anesthesia billing, covering key aspects of telehealth billing. Eligible Services for Telehealth Billing The Centers for Medicare & Medicaid Services (CMS) maintains a list of services eligible for telehealth billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Informed Consent 59

Medisys Compliance

JULY 15, 2024

Best Practices for Adapting to Medicare Billing Changes Stay Informed: Regularly review updates from the Centers for Medicare & Medicaid Services (CMS) and subscribe to newsletters and alerts that provide the latest information on Medicare billing changes.

Medicare 59

Medicare Medicare Medical Billing Outsourcing COVID-19 59

Medisys Compliance

JULY 17, 2024

Reference Links American Society of Clinical Oncology (ASCO) – Coding and Reimbursement Centers for Medicare & Medicaid Services (CMS) – Medicare Claims Processing Manual CPT® Copyright 2024 American Medical Association. All rights reserved.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicare 59

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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

Medisys Compliance

DECEMBER 23, 2022

The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. The post Medicare Fee Schedule Changes in 2023 appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medicare 98

Medicare Medicare Medical Billing Medical Billing Outsourcing 98

Medisys Compliance

APRIL 23, 2024

Stay Current on Regulations and Coding Updates Monitor Regulatory Changes: Stay informed about updates to regulations like MACRA (Medicare Access and CHIP Reauthorization Act) that may impact your billing practices. Utilize resources from the Centers for Medicare & Medicaid Services (CMS) and your local healthcare associations.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

APRIL 1, 2024

Patient Consent: Ensure patients have consented to receiving telehealth services and understand potential billing implications. Maximizing Reimbursement for Telehealth Services Stay Informed: Keep yourself updated on the latest telehealth billing regulations from Medicare, Medicaid, and private insurers.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

Medisys Compliance

APRIL 18, 2022

In October 2021, the Center for Medicare and Medicaid Innovation (CMMI) announced a goal of having every Medicare beneficiary and the majority of Medicaid beneficiaries covered by some type of alternative payment model (APM) by 2030. Incentives for Medicaid clinicians who also treat Medicare patients. APMs Overview.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

Medisys Compliance

AUGUST 27, 2024

Here are some best practices: Stay Updated: CPT codes and billing guidelines are subject to change. Regularly review updates from authoritative sources like the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS). Use Specific Codes: Avoid using unspecified or generalized codes.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Compliance 59

Medisys Compliance

APRIL 15, 2024

Reference: American Urological Association (AUA) Coding and Reimbursement section CPT® codes and descriptions are copyrighted by the American Medical Association (AMA). The post New Urology Codes: Keeping Your Billing Up-to-Date in 2024 appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 64

Medisys Compliance

JULY 31, 2024

Medicaid: Coverage and reimbursement policies differ by state. Avoiding Common Billing Errors Preventing billing errors is critical to ensuring timely and accurate reimbursement. The post Maximizing Reimbursement for Immunotherapy appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

APRIL 11, 2024

Familiarizing yourself with current telehealth billing guidelines established by CMS is essential to ensure proper reimbursement. Getting Started and Resources Available Several valuable resources can help you navigate the transition to direct billing.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

FEBRUARY 26, 2024

References: Centers for Medicare & Medicaid Services (CMS) – Bundled Payments for Care Improvement (BPCI) Initiative Episode-Based Cost Measure Development for the Quality Payment Program The post Mastering Bundled Payments and Episode Based Billing in Cardiology Care appeared first on Leading Medical Billing Outsourcing Services Company (..)

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Patient Satisfaction Medicaid 59

Medisys Compliance

APRIL 22, 2022

In the Medicare Physician Fee Schedule final rule issued in November 2021, the Centers for Medicare and Medicaid Services (CMS) added four new CPT codes (99424, 99425, 99426, and 99427) in the category of Principal Care Management (PCM) to replace the two previous PCM codes (HCPCS codes G2064 and G2065).

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

DECEMBER 10, 2024

Payer-Specific Guidelines: Coverage often varies between Medicare, Medicaid, and private payers, requiring familiarity with individual payer rules. Best Practices for Spine Surgery Billing Stay Updated with Coding Guidelines: Spinal surgery CPT codes and reimbursement rules frequently change. Missing this step can lead to denial.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance Medicaid 59

Medisys Compliance

AUGUST 6, 2024

Reference Links: American College of Physicians – Medical Billing & Coding Resources for Physicians Centers for Medicare & Medicaid Services – Coding and Billing Information The post Internal Medicine Billing Services for Small Practices appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Patient Satisfaction Medical Billing Medicare 59

Medisys Compliance

MARCH 15, 2024

References: American Medical Association: “Current Procedural Terminology (CPT®) Codes Centers for Medicare & Medicaid Services (CMS): Medicare Modifiers The post RIAS Coding for Urology: Optimizing Reimbursement appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

MARCH 7, 2024

To learn more about our medical coding services, contact us at 888-720-8884 / info@medisysdata.com References: American Medical Association (AMA) Official Website Centers for Medicare & Medicaid Services (CMS) Official Website The post Navigating the 2024 CPT Code Updates appeared first on Leading Medical Billing Outsourcing Services Company in (..)

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance COVID-19 59

Medisys Compliance

FEBRUARY 21, 2024

Failure to Comply with Coding Guidelines: It’s essential to adhere to coding guidelines established by the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), and other relevant regulatory bodies.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

JUNE 28, 2022

On December 28, 2021, the Centers for Medicare & Medicaid Services (CMS) published a final rule in the Federal Register that addressed the classification and payment of continuous glucose monitors (CGMs) under the Medicare Part B benefit for durable medical equipment (DME). Medicare Coverage for Continuous Glucose Monitors (CGMs).

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Medical Billing Outsourcing Medical Billing Medicare Medicare 52