Medisys Compliance

MAY 23, 2024

Documentation Requirements: Detailed and accurate documentation is vital for justifying medical necessity and supporting claim submissions. Documentation should include the presenting problem, diagnostic assessment, treatment plan, progress notes, and any relevant clinical findings. Medisys takes care of everything for you.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 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

OCTOBER 1, 2022

To avoid any bottlenecks, here’s a listicle of the common CPT codes which are used for mental health billing : 90832 — 30 minutes of individual counselling. 96130 — Evaluation services, such as reporting, treatment planning, clinical decision-making, deciphering test results, and giving patients, caregivers, or family members feedback.

Medicare 98

Medicare Medicare Medical Billing Outsourcing Medical Billing 98

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

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

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

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

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

JANUARY 5, 2023

There is no assurance that a claim will be approved in full, even if it is presented quickly. You can ensure that each claim is being tagged appropriately and sent out when you delegate the difficulties of your billing process to mental health billing experts. Clean claims. On-time payments depend on clean claims.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services 52

Medisys Compliance

DECEMBER 19, 2024

Risk Assessment: Minimal risk, medication continued without changes. Moderate Complexity MDM Example Scenario: A 70-year-old patient presents with new-onset palpitations and fatigue. Data Reviewed: Blood pressure readings. Problems Addressed: Atrial fibrillation diagnosis.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 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

OCTOBER 12, 2023

90847 – Family psychotherapy (with the patient present): This code is employed when a therapist conducts a session involving multiple family members with the patient present. Only use this code when the patient is physically present during the family therapy session.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 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 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

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

JANUARY 31, 2024

Incomplete Documentation Session notes should be detailed, capturing the presenting problem, interventions, progress, and treatment plan. Billing Process Blunders Choose the correct claim form (CMS-1500 or UB-04) based on the service and beneficiary type. Vague or incomplete notes raise red flags.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

APRIL 25, 2024

Technology Adoption: Utilizing technology solutions for billing, coding, and quality data capture can streamline your workflow and improve reporting efficiency under MACRA. Improved Quality of Care: Focusing on quality metrics can lead to better patient outcomes.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

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

NOVEMBER 19, 2024

Radiology billing presents unique challenges that set it apart from other areas of medical billing. From technical complexities in coding to the need for precise documentation and frequent prior authorizations, radiology billing demands accuracy and attention to detail.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

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

JANUARY 21, 2024

The mental health omnibus bill presents a significant step towards ensuring more accessible and equitable mental healthcare. By staying informed about its implications and partnering with experienced professionals, you can navigate the changes smoothly and continue providing vital services to your patients.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 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

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

Medisys Compliance

JANUARY 4, 2024

Code selection hinges on the time spent, complexity of medical decision-making, and four key elements: history, examination, medical decision-making, and counseling/coordination of care. Required Documentation Solid medical documentation is your armor against denials and audits.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Patient Satisfaction Medicaid 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

MARCH 21, 2024

Introduction The ever-evolving healthcare landscape presents OB/GYN practices with continuous challenges. Efficient billing practices play a vital role in achieving these goals. Streamlining operations, enhancing patient care, and optimizing revenue are crucial for success.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Doctors Medical Billing Services 59

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 2, 2023

CPT 90847: Family Psychotherapy (with the patient present) Family psychotherapy is an essential aspect of mental health treatment, as it involves addressing family dynamics and relationships that impact an individual’s well-being. Code 90847 is used when conducting family therapy sessions with the patient present.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 52

Medisys Compliance

MARCH 7, 2022

This occurs when the sheer quantity of the displayed items seems wildly disproportionate to the nature of the presenting problems. Taken at face value, a single, self-limiting medical condition would not normally warrant a complete review of past medical, family and social history; a full review of systems; and a comprehensive exam.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Overpayments Overpayment 52

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

Medisys Compliance

APRIL 11, 2024

Additionally, the American Association for Marriage and Family Therapy (AAMFT) provides resources and guidance specifically for MFTs transitioning to direct billing under Medicare. Benefits and Potential Challenges Direct billing presents several advantages for MFTs and MHCs.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

FEBRUARY 14, 2024

Introduction Urology, encompassing the urinary tract and male reproductive system, presents unique billing challenges due to its specialized procedures and ever-evolving regulations. Let’s explore into the essential knowledge for accurate and efficient billing for cystoscopy.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 52

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

JANUARY 11, 2023

Your medical organization should present a suitable transition plan in order to handle this challenging moment. A good transition strategy should have a single point of contact, a thorough examination of your present revenue cycle, training for internal staff, and the assignment of duties to your team and the billing business.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 52

Medisys Compliance

APRIL 8, 2022

The 2 additional modifiers for CY 2022 relate to telehealth mental health services. The modifiers are: FQ – A telehealth service was furnished using real-time audio-only communication technology. FR – A supervising practitioner was present through a real-time two-way, audio/video communication technology.

Medicare 59

Medicare Medicare Medical Billing Outsourcing COVID-19 59