Medisys Compliance

MARCH 19, 2025

Medicaid: Medicaid billing often involves navigating state-specific rules and regulations, which can add complexity. This rule reduces the payment for the technical component of certain diagnostic imaging procedures when multiple studies are performed on the same patient during the same session.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

JANUARY 23, 2025

Providers must remain vigilant about evolving policies, especially concerning geographic and site-of-service requirements that may change post-March 2025. Mental health providers should monitor updates from the Centers for Medicare & Medicaid Services (CMS) to ensure uninterrupted reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

MAY 22, 2024

Partnership with a Medical Billing Service Consider partnering with a medical billing service like Medisys to streamline your billing process. Appealing Denied Claims: If a claim is denied, review the Explanation of Benefits (EOB) to understand the reason.

Compliance 59

Compliance Medical Billing Services Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

MAY 20, 2024

Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures. Factors Affecting Reimbursement Rates Several factors influence reimbursement rates: CPT Codes: Current Procedural Terminology (CPT) codes categorize specific services.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

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

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 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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medical Billing HIPAA 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

MARCH 12, 2025

Cardiology practices frequently interact with a diverse landscape of payers – from Medicare and Medicaid to a multitude of commercial insurance companies. Navigating Payer-Specific Submission Protocols In cardiology claim processing, a one-size-fits-all approach to claim submission simply doesn’t work.

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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

OCTOBER 27, 2023

Optimizing these processes ensures timely and accurate billing, minimizes claim denials, and improves cash flow. Considering Outsourcing Options Outsourcing medical billing services is a viable option for small practices looking to reduce administrative burdens and improve efficiency.

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

OCTOBER 20, 2023

Emergency medical coders use standardized code sets like CPT (Current Procedural Terminology) and ICD-10 (International Classification of Diseases) to describe the services rendered. Reimbursement is based on contract agreements and fee schedules.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Telemedicine 59

Medisys Compliance

AUGUST 11, 2024

As a leading provider of medical billing services, we understand the difficulties and challenges faced by therapists in managing their billing processes. Accurate and efficient billing is crucial for maintaining a stable cash flow and ensuring that therapists are reimbursed for their services.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Services Medical Billing Regulatory Compliance 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

MAY 17, 2024

About Medisys While this article provides general information, it is not a substitute for professional medical billing and coding advice. Consider partnering with a medical billing service like Medisys to ensure your mental health practice receives the maximum possible reimbursement for your services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 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.

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Medisys Compliance

MAY 15, 2024

About Medisys Medisys is a leading provider of medical billing services with a proven track record of helping mental health providers navigate the complexities of the billing process.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Medicaid 59

Medisys Compliance

JUNE 14, 2023

Limited staffing and financial resources can hinder effective revenue cycle management and impede the adoption of advanced billing technologies. To overcome this challenge, healthcare providers can consider outsourcing their billing processes to professional medical billing services.

Medical Billing 52

Medical Billing Medical Billing Services Medical Billing Outsourcing Regulatory Compliance 52

Medisys Compliance

JANUARY 9, 2024

So ditch the denials and let Medisys handle the billing, while you focus on what you do best – delivering exceptional patient care. By partnering with Medisys, you can eliminate administrative headaches, optimize your revenue cycle, and watch your cash flow soar.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 26, 2024

Outsource billing to a qualified medical billing service: Partnering with a medical billing company allows primary care practices to leverage experienced staff for coding, claim submission, and denial management.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

MAY 2, 2024

Keeping Your Focus on Healing: Partnering with Medisys Chronic wound care requires a high level of expertise, and navigating the complexities of billing shouldn’t add to your burden. Medisys , a leading provider of medical billing services, can be your trusted partner.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Patient Satisfaction 59

Medisys Compliance

FEBRUARY 13, 2025

Understanding Payer Policies: Proactively research and understand the specific billing guidelines, coverage policies, and pre-authorization requirements of major payers in your region, including Medicare, Medicaid, and key commercial insurers. Payer websites and provider manuals are crucial resources.

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

MAY 14, 2024

The Right Fit: Medical Billing Services Offered The ideal mental health billing company should offer a comprehensive suite of services that cater to your practice’s entire revenue cycle. A knowledgeable partner ensures proper claim processing and minimizes denials.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Patient Satisfaction 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

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

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. Trust Medisys for comprehensive radiology billing services tailored to your needs.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

APRIL 8, 2024

Transparent Billing Statements: Provide clear and understandable billing statements that detail services rendered, associated charges, and insurance information. Partnering with a Medical Billing Service Outsourcing medical billing to a dedicated service can be highly beneficial for practices with limited resources.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 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 Medicaid Medicaid Medical Billing 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 Medicaid Medicaid Medical Billing 59

Medisys Compliance

JULY 27, 2023

How do I ensure compliance with Kentucky Medicaid and Medicare billing guidelines? Training and education: Ensure that the billing and coding staff receive appropriate training on Kentucky Medicaid and Medicare guidelines. Documentation accuracy: Accurate and complete documentation is vital for billing compliance.

Medical Billing 52

Medical Billing Telemedicine Medicaid Medicaid 52

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 internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule.

Medicare 98

Medicare Medicare Medical Billing Medical Billing Outsourcing 98

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

JUNE 20, 2022

Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding functions for Medicare, Medicaid, government and private payers. In case any assistance needed for Medicare medical billing services, contact us at info@medisysdata.com/ 302-261-9187.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

MAY 27, 2024

To conclude, By understanding these core components and implementing a step-by-step approach, GI billing can become a streamlined process. Staying current on coding regulations and considering a medical billing service can further optimize your practice’s revenue cycle management.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 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

MARCH 13, 2024

Medisys Data Solutions (MDS) For mental health providers seeking expert assistance in navigating the complexities of billing and coding, Medisys Data Solutions (MDS) offers comprehensive medical billing services tailored to the unique needs of mental health practices.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Compliance 59