Medisys Compliance

APRIL 8, 2024

Introduction In the complex world of healthcare administration, optimizing medical billing processes is crucial for ensuring prompt payments and financial stability. Understanding the Importance of Medical Billing Medical billing serves as the backbone of revenue generation for healthcare practices.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

NOVEMBER 27, 2024

Medicare covers certain podiatry services, but billing for them requires strict adherence to guidelines to ensure compliance and maximize reimbursement. What Does Medicare Cover for Podiatry Services? Routine Foot Care Exceptions: Medicare covers routine foot care (e.g., nontraumatic amputation of a foot).

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

DECEMBER 21, 2022

Now let’s understand a few basic answers before we jump straight into the details of wound care billing! Why is outsourcing necessary in wound care billing? By outsourcing, you can make sure that the medical billing process is error-free. Statistical discrepancy is present.

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Medical Billing Medical Billing Outsourcing Medical Billing Services HIPAA 98

Medisys Compliance

MARCH 5, 2024

Understanding the Landscape of Cardiology Billing Cardiology billing encompasses a wide range of services, including diagnostic testing, interventional procedures, and ongoing patient care.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

OCTOBER 27, 2023

Introduction In the complex world of healthcare in the United States, small medical practices often face the challenge of managing their medical billing effectively. The term ‘medical billing for small practices’ encompasses a wide array of topics that are crucial for these healthcare providers.

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Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

DECEMBER 29, 2022

This can be swiftly done with medical billing outsourcing services. From doctors, nurses, and other clinicians to the medical billing and coding team and front office workers, everyone has a job to do. The post How To Reduce AR Days With Oncology Billing? Clean claims will result in faster reimbursements.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. While accurate billing ensures fair reimbursement and uninterrupted patient care, billing mistakes can have significant consequences, leading to financial losses, claim denials, and even penalties.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

FEBRUARY 14, 2022

For providers who primarily provide care for older patients, the process is even more complex due to stringent Medicare regulations and idiosyncrasies specific to each care environment that impact the coding and documentation required for reimbursement. Ambulatory Setting.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

MARCH 29, 2022

While following mentioned write-offs represent inefficiencies in your medical billing operations. Every payer has a deadline for submitting charges, sometimes your billing team misses some charges. Medicare requires that claims be filed no later than 12 months after the date of service to be paid.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

APRIL 8, 2022

In this article, we briefly discussed these Medicare telehealth billing guidelines. CMS has finalized certain services added to the Medicare telehealth services list will remain on the list through December 31, 2023.This To know more about our Telehealth billing services, contact us at info@medisysdata.com/ 302-261-9187.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

MARCH 25, 2022

AR days is an important indicator to represent financial health of any practice so accurately calculating AR days in medical billing will result in taking appropriate follow up actions. Most experts agree that an average AR days measurement above 50 indicates a problem in medical billing or collection processes.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 52

Medisys Compliance

JULY 26, 2022

Hospital administrators, physicians, and members of every healthcare office billing department know that if their practice or hospital provides services to Medicare patients, they must be prepared to potentially receive a request for an audit. Prepare for a Medicare Audit. Responding to an Audit Request.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

DECEMBER 18, 2024

Managing patient billing inquiries and collections. Unlike general medical billing outsourcing, primary care billing requires a focus on routine services such as evaluation and management (E/M) codes, preventive care, vaccinations, and chronic care management.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

SEPTEMBER 16, 2022

Similarly, incorrectly applied dermatology billing modifiers on a claim will result in denials. Experienced dermatology medical billing and coding services providers can assist practices in filing clean claims by assigning the appropriate codes and modifiers to support the services rendered. ” Modifier 50 – Correct Usage.

Medical Billing 105

Medical Billing Medical Billing Outsourcing Medicare Medicare 105

Medisys Compliance

AUGUST 1, 2022

Medicare enrollment is the first step towards becoming Medicare provider or supplier. CMS has shared complete process flow chart for successful Medicare enrollment. Being leading medical billing company, Medisys Data Solutions helped lots for providers and suppliers in successful Medicare enrollment.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

JUNE 7, 2022

Defining Medicare Secondary Payer (MSP). Medicare Secondary Payer (MSP) is the term generally used when the Medicare program does not have primary payment responsibility i.e., when another entity has the responsibility for paying before Medicare. When Medicare Pays First. Primary payers must pay a claim first.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

APRIL 28, 2023

About Medisys Data Solutions Medisys Data Solutions is a reputable medical billing company that has been providing reliable and efficient medical billing services in Ohio for several years. Our professional services include everything from billing and coding to claims management and denial management.

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Medical Billing Services Medical Billing Medical Billing Outsourcing Medicare 52

Medisys Compliance

JULY 25, 2022

Recently published watchdog report found that private Medicare plans routinely rejected claims that should have been paid and denied services that reviewers found to be medically necessary. For detailed understanding we shared observations of OIG where they found that some of the claims were wrongly denied by private Medicare plans.

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Medicare Medicare US Department of Health and Human Services Medical Billing Outsourcing 52

Medisys Compliance

JULY 5, 2022

What is Medicare Overpayment? A Medicare overpayment exceeds regulation and statute properly payable amounts. When Medicare identifies an overpayment, the amount becomes a debt a healthcare provider owes the federal government. Based on this new information, CMS takes action to recover the mistaken Medicare payment.

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Overpayments Overpayment Medicare Medicare 52

Medisys Compliance

JULY 27, 2023

Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. This helps maintain compliance and reduce errors.

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Medical Billing Telemedicine Medicaid Medicaid 52

Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. In 2024, several significant updates have been introduced that directly impact the billing processes for internal medicine.

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Medicare Medicare Medical Billing Outsourcing COVID-19 59

Medisys Compliance

MAY 5, 2022

On 22 nd April 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare enrollment and eligibility rules that would expand coverage for people with Medicare and advance health equity. Sections 120 and 402 of the CAA made two key changes to Medicare enrollment rules.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

AUGUST 1, 2023

Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care.

Medical Billing Services 52

Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

AUGUST 1, 2023

Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care.

Medical Billing Services 52

Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

NOVEMBER 1, 2023

Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry. Common errors of charge entry in medical billing Incorrect coding is a prevalent error in charge entry.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

JUNE 10, 2022

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT).

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Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

JULY 29, 2022

We are sharing Medicare guidelines for laser-assisted cataract surgery billing from a last updated CMS document. We shared this document as it was published, to avoid any error while billing for laser-assisted cataract surgery. Medicare Policy Regarding Non-Covered Services.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

MAY 31, 2022

End-Stage Renal Disease (ESRD) is a medical condition in which a person’s kidneys cease functioning on a permanent basis leading to the need for a regular course of long-term dialysis or a kidney transplant to maintain life. Beneficiaries may become entitled to Medicare based on ESRD. Medicare Secondary Payer (MSP).

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

JUNE 30, 2022

Medicare Coverage for MNT. The Social Security Act authorizes Medicare Part B coverage of Medical Nutrition Therapy services (MNT) for certain beneficiaries who have diabetes or a renal disease. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

MAY 19, 2022

During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located. Some important changes to Medicare telehealth coverage and reimbursement during this period include: Location. Eligible providers.

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COVID-19 Medicare Medicare Medical Billing 52

Medisys Compliance

JUNE 16, 2023

G0108 is a Medicare code used for the initial preventive physical examination, also known as the IPPE or “Welcome to Medicare” visit. If you are a healthcare provider or a medical biller, understanding the billing frequency for G0108 is crucial to ensure proper reimbursement and optimal utilization of this service.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape. All rights reserved.

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Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

JUNE 24, 2022

What’s a Medicare Administrative Contractor (MAC)? Its quite common for any provider to get confused while billing to Medicare for healthcare services, as they not billing to Medicare but to a MAC. million health care providers who are enrolled in the Medicare FFS program. Activities done by MACs.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

DECEMBER 19, 2024

Podiatrists provide essential care for foot and ankle conditions, but the complexities of podiatry billing often create administrative burdens. From managing CPT codes for procedures like nail debridement and wound care to ensuring compliance with Medicares podiatry-specific guidelines, the billing process can be confusing.

Medical Billing Outsourcing 66

Medical Billing Outsourcing Medicare Medicare Compliance 66

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

JUNE 20, 2022

Under Fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. Medicare Coverage. Only a qualified home infusion therapy supplier can bill for services under the new home infusion therapy services benefit.

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