Medisys Compliance

FEBRUARY 20, 2023

Healthcare providers often get confused about the appropriate use of modifiers GA, GX, GY, and GZ while billing Medicare. GA modifier indicates that an Advance Beneficiary Notice (ABN) is on file and allows the provider to bill the patient if not covered by Medicare. Medicare does not pay for all health care costs.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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

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

MAY 22, 2024

Optimizing Your Workflow for Accurate Billing Verify Patient Insurance and Benefits: Before each session, confirm the patient’s insurance is active and understand their mental health coverage details (deductibles, copays, covered services). Include the presenting problem, assessment, treatment plan, and progress updates.

Compliance 59

Compliance Medical Billing Services Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

MARCH 24, 2025

Urgent care centers play a vital role in the healthcare ecosystem, providing accessible and timely medical attention for illnesses and injuries. However, while patient volumes are often high, urgent care billing presents unique challenges that can impact profitability.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

MARCH 5, 2024

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.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

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.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

APRIL 11, 2024

Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose. Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria. The next step involves enrolling as a Medicare provider.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

MAY 15, 2024

Increased awareness, reduced stigma, and the rise of teletherapy are all contributing to a surge in demand for mental health services. This growth presents challenges and opportunities for mental health providers and the billing companies supporting them.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Medicaid 59

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.

Medical Billing 64

Medical Billing Medical Billing Outsourcing Medicare Medicare 64

Medisys Compliance

APRIL 26, 2024

Essential Considerations for Accurate Outpatient Billing Accurate Documentation: Detailed and clear physician documentation is vital for accurate coding. Documentation should reflect the history of present illness, review of systems, medical decision-making, physical examination findings, and assessment/plan.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

OCTOBER 20, 2023

Insurance Reimbursement: Emergency medical services are typically covered by various insurance plans, including public programs like Medicare and Medicaid, as well as private insurance. Reimbursement is based on contract agreements and fee schedules.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Telemedicine 59

Medisys Compliance

JANUARY 21, 2024

Understanding the Bill and its Implications The mental health omnibus bill encompasses a multitude of provisions aimed at bolstering mental health resources and services. Mental Health Billing and the Mental Health Omnibus Bill These changes will undoubtedly affect billing practices.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

DECEMBER 21, 2022

A detailed outline to help spot any further new medical conditions that would require antibiotics, a biopsy, further testing, podiatric consulting, or vascular procedures. Here are 3 compelling reasons to outsource your wound care medical billing: 1. Statistical discrepancy is present.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services HIPAA 98

Medisys Compliance

MAY 27, 2024

Streamlining Your GI Billing Process Patient Insurance Verification: Before each encounter, confirm the patient’s insurance is active and understand their GI coverage details (deductibles, co-pays, covered services). Accurate Documentation: Maintain thorough medical records for each patient.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 59

Medisys Compliance

FEBRUARY 20, 2022

‘Incident-to’ services are usually initiated by a physician and provided by a non-physician provider (NPP) following the care plan and supervision of the physician. The physician must be physically present in the office suite and the services provided must be commonly performed in the physician’s office.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

AUGUST 8, 2022

In this article, we shared billing guidelines for anesthesia payment at personally performed rate and calculation of anesthesia time units. We referred Medicare billing guidelines from Medicare claims processing manual chapter 12.50 i.e., payment for anesthesiology services. Calculation of Anesthesia Time Units.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

JANUARY 31, 2022

We share insurance coverage reports which will help to understand covered services, the need for prior authorizations, unpaid deductibles, and co-payments. Patients sometimes present themselves as self-pay even though coverage exists, such incidents can be avoided due to insurance coverage reports. Improve Medicare Reimbursements.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

MARCH 13, 2024

Modifier 25: Significantly, mental health providers often use Modifier 25, which indicates that a significant, separately identifiable evaluation and management (E/M) service was performed on the same day as another procedure or service.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Compliance 59

Medisys Compliance

FEBRUARY 29, 2024

Introduction The increasing adoption of virtual care in primary care presents an exciting opportunity to improve patient access to care while offering greater flexibility for providers. However, navigating the small details of billing for these services can be challenging. secure messaging).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

Medisys Compliance

AUGUST 1, 2024

Group therapy, a vital component of mental health treatment, presents unique challenges for billing and coding. Accurate and compliant group therapy billing requires a comprehensive understanding of patient eligibility, group composition, session structure, provider qualifications, and meticulous documentation.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medical Billing Regulatory Compliance 59

Medisys Compliance

FEBRUARY 26, 2024

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. Contact Medisys to learn more about cardiology billing services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Patient Satisfaction Medicaid 59

Medisys Compliance

APRIL 16, 2024

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

FEBRUARY 4, 2022

It would be appropriate to report a condition for which you are counseling the beneficiary, an ICD-10-CM code to reflect an administrative examination, or a well exam diagnosis when furnished as part of the Medicare Annual Wellness Visit (AWV). CPT codes, descriptions and other data are copyright 2020 American Medical Association.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

AUGUST 14, 2024

From patient registration to final payment, each step presents unique challenges and opportunities. Effective Patient Financial Responsibility Management Managing patient financial responsibility in oncology care presents unique challenges. Offering flexible payment plans can alleviate patient financial burden.

Patient Satisfaction 52

Patient Satisfaction Medical Billing Outsourcing Medical Billing Medicaid 52

Medisys Compliance

MARCH 7, 2024

Adapting to these changes is essential for medical practices to maintain billing accuracy and optimize revenue streams. Challenges and Considerations While CPT code updates aim to enhance accuracy and relevance, they also present challenges for healthcare professionals, the same is true with 2024 CPT code updates.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance COVID-19 59

Medisys Compliance

JUNE 26, 2024

This article, presented by Medisys, aims to educate providers on ICD-10 coding for mental health and offer advisory content to enhance their coding practices. Utilize resources such as the American Psychiatric Association (APA) and the Centers for Medicare & Medicaid Services (CMS) for updates and guidelines.

Medical Billing 45

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 45

Medisys Compliance

FEBRUARY 7, 2024

While billing often occurs after the fact, capturing patient payments at the time of service (TOS) offers significant advantages. Medisys, your trusted medical billing partner, presents a comprehensive guide to help you optimize TOS collections and improve your financial health.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

JANUARY 24, 2024

This improved detail allows for more accurate documentation and billing, capturing the nuances of patient presentations. While these OB/GYN billing updates 2024, present challenges, they also offer opportunities for improved accuracy, research, and patient care.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

JULY 23, 2024

This documentation is essential for justifying the medical necessity of the services provided. 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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Informed Consent Medical Billing 59

Medisys Compliance

MAY 26, 2023

Four common modifiers used for mental health telehealth services include 95, GT, GQ, and G0. The 95 modifier is used to indicate that the service was provided via telehealth. The GT modifier is also used to indicate that the service was provided via telehealth, but it is specifically used for Medicare billing.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Medicare 52

Medisys Compliance

APRIL 7, 2023

Modifier 95 is recognized by Medicare and some other payers, but not all payers recognize this modifier. Modifier GT: Modifier GT is used to indicate that a service was provided via interactive audio and video telecommunication systems.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Medicare 52

Medisys Compliance

AUGUST 20, 2024

Billing for behavioral health services presents unique challenges that differ from other medical specialties. With the growing demand for mental health services, providers must understand the complexities of behavioral health billing to ensure timely reimbursements, minimize denials, and maintain financial stability.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Licensing Medical Billing Informed Consent 59

Medisys Compliance

FEBRUARY 13, 2024

90847: Family psychotherapy (with client present), 50 minutes This code covers family therapy sessions where the client actively participates for 50 minutes. Additionally, incomplete documentation or neglecting to address confidentiality concerns with the patient can cause claim denials.

Medical Billing Outsourcing 69

Medical Billing Outsourcing Informed Consent Medical Billing Compliance 69

Medisys Compliance

AUGUST 29, 2024

However, billing for these e-visits presents unique challenges that require careful attention to detail. This article will guide you through the minor details of e-visits cardiology billing, helping you navigate the complexities to ensure accurate reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

MAY 10, 2024

Introduction The ever-changing landscape of healthcare presents unique challenges for mental health providers. Complex regulations, intricate coding requirements, and the specific nuances of mental health services all contribute to a billing environment fraught with complexities.

Medical Billing 59

Medical Billing Medical Billing Outsourcing HIPAA Medical Billing Services 59

Medisys Compliance

MAY 7, 2024

This is where a dedicated mental health billing service can make a world of difference, offering substantial benefits that can help providers reduce stress and regain valuable time to focus on patient care. Here’s where a mental health billing service can be a game-changer.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance HIPAA 59