Medisys Compliance

OCTOBER 1, 2022

Navigating through the complex medicare guidelines can be a complex and overwhelming task, however, here is the good news, the entire process is merely about using the right CPT codes. However, one needs to be careful while billing as Medicare follows strict rules and regulations for time increments.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 98

Medisys Compliance

APRIL 23, 2024

Introduction In today’s ever-evolving healthcare landscape, efficient and accurate medical billing is of highest priority for a practice’s financial health. Utilize resources from the Centers for Medicare & Medicaid Services (CMS) and your local healthcare associations. Medisys can help!

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

APRIL 22, 2024

Introduction Urology practices face unique challenges in medical billing due to the intricate nature of procedures and specific coding requirements. Understanding Urology Billing The core principles of medical billing remain the same for urology.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 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.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

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

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.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

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.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

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.

Medical Billing 52

Medical Billing Telemedicine Medicaid Medicaid 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

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.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 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

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 8, 2022

CMS has updated the Telehealth Services List to show minor changes due to various activities, such as the CY 2022 MPFS Final Rule and legislative changes from the Consolidated Appropriations Act of 2021. In this article, we briefly discussed these Medicare telehealth billing guidelines. Temporarily Added Telehealth Services.

Medicare 59

Medicare Medicare Medical Billing Outsourcing COVID-19 59

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. Likewise, nursing services are necessary to train and educate the patient and caregivers on the safe administration of infusion drugs in the home.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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. Why are medical billing and coding significant to the healthcare industry?

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Medical Billing Medical Billing Outsourcing Medical Billing Services HIPAA 98

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

MAY 22, 2024

Introduction For mental health therapists, navigating the challenges of medical billing and coding can feel overwhelming. However proper billing practices are essential to ensure you receive timely reimbursement for your services and remain compliant with insurance regulations.

Compliance 59

Compliance Medical Billing Services Medical Billing Medical Billing Outsourcing 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. Medicare Coverage. American Medical Association. All Rights Reserved. Reference: [link].

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

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).

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 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. MAOs also denied payments to providers for some services that met both Medicare coverage rules and MAO billing rules.

Medicare 52

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

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

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.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

SEPTEMBER 16, 2022

Adding the appropriate dermatology modifier to provide payers with more specificity about the service or procedure rendered will facilitate appropriate reimbursement. Similarly, incorrectly applied dermatology billing modifiers on a claim will result in denials. ” Modifier 50 – Correct Usage.

Medical Billing 105

Medical Billing Medical Billing Outsourcing Medicare Medicare 105

Medisys Compliance

SEPTEMBER 29, 2022

Verification and eligibility of the patient: From collecting adequate information, verification to checking eligibility of the patients, medical billing companies play a significant role. Whether it is collecting insurance information or finding out the relevant diagnosis, these billing professionals take care of everything.

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Medicare Medicare 98

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. Cost-sharing.

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COVID-19 Medicare Medicare Medical Billing 52

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.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 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.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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 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

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. This preventive service is designed to assess a beneficiary’s health status and provide essential preventive care measures.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

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

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.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

FEBRUARY 7, 2022

Medicare pays a physician for an Annual Wellness Visit (AWV) service. This visit is planned to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA) which is covered once every 12 months by Medicare. Medicare pays the IPPE costs if the provider accepts assignment.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

JANUARY 9, 2024

Introduction For solo practitioners and small healthcare providers juggling both patient care and medical billing, every step counts. By putting these tips into action, small healthcare providers can overcome the challenges of medical billing and achieve claim acceptance rates that rival larger organizations.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

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

JANUARY 20, 2022

The Centers for Medicare & Medicaid Services (CMS) recognizes that CCM services are critical components of primary care that promote better health and reduce overall health care costs. Billing Guidelines for Medicare Chronic Care Management. It may also help prevent duplicative practitioner billing.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 52