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Navigating Payer Audits and Reimbursement Challenges in Cardiology Billing

Medisys Compliance

Introduction Cardiology billing presents unique challenges due to evolving regulatory landscapes, complex coding requirements, and the constant scrutiny of payer audits. This article explores into the details of cardiology billing, offering insights into payer audits and reimbursement challenges in cardiology billing.

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The Impact of MACRA on Cardiology Billing

Medisys Compliance

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.

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Recent Changes in Medicare Billing for Internal Medicine in 2024

Medisys Compliance

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.

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Understanding CMS Behavioral Health Billing Guidelines: Essential Information for Providers

Medisys Compliance

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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Mastering Bundled Payments and Episode Based Billing in Cardiology Care

Medisys Compliance

Episode-based billing extends this concept by encompassing a broader range of services and encounters over a defined period, often including pre-procedure assessments, the procedure itself, post-procedure follow-up care, and any associated complications or readmissions.

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Direct Billing by MFTs and MHCs: A Comprehensive Guide for Year 2024

Medisys Compliance

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.

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Overcoming Reimbursement Challenges with CPT Code 90837

Medisys Compliance

Research industry benchmarks and present a compelling case for your value. This allows you to address specific issues and refine your billing practices. CPT code 90837 may present reimbursement challenges, but with knowledge, preparation, and the right tools, you can triumph.