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.

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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.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

MARCH 5, 2024

Cardiologists and their billing teams often find themselves navigating a maze of regulations while striving to ensure accurate reimbursement for the vital services they provide. This article explores into the details of cardiology billing, offering insights into payer audits and reimbursement challenges in cardiology billing.

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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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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.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 52

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

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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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. In this article, lets discuss about correct method for calculating AR days and other related terminologies. Calculating AR Days.

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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.

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Healthcare IT Today

JUNE 29, 2023

The following is a guest article by Isaac Smith, Billing, Coding, and Reimbursement Specialist at Medcare MSO ASCs are types of medical facilities that are subject to stringent regulations. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance.

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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. In this article, we discussed about what is MAC and activities handled by all these contractors.

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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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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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Medisys Compliance

JULY 13, 2023

Medicare recognizes the importance of diabetes self-management training and offers coverage for eligible beneficiaries. However, there are specific guidelines and conditions that need to be met for Medicare billing. Diabetes Education Billing Guidelines for Medicare Who May Furnish the Training?

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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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Medisys Compliance

APRIL 10, 2024

But navigating the complexities of HBOT billing can be daunting. This article equips US-based wound care providers with the knowledge to ensure proper reimbursement for this valuable service. Understanding Coverage and Coding Medicare reimbursement for HBOT hinges on the diagnosis.

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Medisys Compliance

APRIL 1, 2024

However, navigating the billing process for these virtual visits can be complex for primary care providers. This article act as a comprehensive guide to understand and excel telehealth billing for your practice. Policies can change frequently.

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Medisys Compliance

FEBRUARY 21, 2024

Introduction As an obstetrician-gynecologist (OB/GYN) provider, accurate coding and billing are essential for ensuring proper reimbursement and maintaining compliance with healthcare regulations. However, improper use of this code can lead to billing errors and potential compliance issues.

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Compliancy Group

FEBRUARY 7, 2024

This is because the Centers for Medicare & Medicaid Services (CMS) have ramped up their efforts to identify organizations that have improperly billed for medical services. For healthcare organizations, understanding UPIC audits and preparing for them is essential to compliance. What is the Purpose of UPIC Audits?

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Medisys Compliance

DECEMBER 12, 2023

As we move into 2024, several key updates will impact how behavioral health providers bill for their services. In this article, we will explore the most important behavioral health billing updates planned for 2024, focusing on both Medicare and commercial payers. Behavioral Health Billing Updates: For Medicare 1.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

OCTOBER 20, 2023

Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. Detailed medical records provide the necessary support for justifying the level of care and ensuring appropriate reimbursement.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

Medisys Compliance

OCTOBER 18, 2023

Are you struggling to understand the details of CPT 93010 when it comes to medical billing and coding? In this essential guide, we will explain the complexities of this important procedure code, helping you to navigate cardiology billing and coding with confidence. Don’t worry!

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Medical Billing Medical Billing Outsourcing Medicaid Medicaid 59

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. practitioner must obtain patient consent before furnishing or billing CCM.

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Medisys Compliance

MARCH 15, 2024

This article, brought to you by Medisys , a leading medical billing company, explores RIAS coding specific to urology practices. Advanced billing technology: We leverage advanced software to ensure accuracy and efficiency. Understanding Radioimmunoassay (RIA) coding plays a vital role in this landscape. What is RIAS?

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Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

JANUARY 29, 2024

This article tackles this very challenge, equipping you, the dedicated healthcare professional, with the knowledge and resources to navigate the world of code with confidence. Compliance is paramount: Understanding and adhering to billing and coding regulations is essential.

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Medisys Compliance

APRIL 15, 2024

Introduction The world of medical billing can be complex, and urology is no exception. This article explores some of the key changes in urology CPT codes for 2024, empowering you to navigate the billing landscape with confidence.

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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.

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Medisys Compliance

JANUARY 4, 2024

Introduction New patient visits can be bustling hubs of activity, but ensuring flawless billing for new patient visits shouldn’t add to the chaos. Stay updated: Familiarize yourself with the latest CMS guidelines and payer policies to avoid compliance lapses.

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Medisys Compliance

MARCH 14, 2023

In this article, we shared wound care reimbursements in certain healthcare facilities. DRGs are a payment classification system used by Medicare and other insurance providers to categorize patients into groups based on their diagnosis, severity of illness, and the resources required for their care.

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Medisys Compliance

APRIL 30, 2024

However, navigating the specific billing practices for telehealth anesthesia services can be complex. This article provides a comprehensive guide for anesthesiologists and providers on telehealth anesthesia billing, covering key aspects of telehealth billing. Medicare, private insurance).

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Medisys Compliance

APRIL 26, 2024

However, navigating the details of outpatient billing for primary care can be a challenge. This article serves as a comprehensive guide for both primary care professionals and medical billers, providing a clear picture of the process and ensuring accurate and efficient claim submissions.

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Medisys Compliance

APRIL 20, 2022

We shared billing update for free COVID-19 tests and second free booster dose in detail in this article. Medicare to Cover Over-the-Counter COVID-19 Tests. Medicare won’t cover over-the-counter COVID-19 tests for Medicare Part A (Hospital Insurance) coverage, but beneficiary may be able to get free tests through other programs.

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Medisys Compliance

NOVEMBER 8, 2023

With the advent of mental health telehealth, it has become increasingly important for mental health providers to be well-informed about the intricate process of billing for such services. Regulations and Compliance State Regulations: State regulations regarding telehealth services can vary significantly.

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Medisys Compliance

FEBRUARY 29, 2024

However, navigating the small details of billing for these services can be challenging. This article explores into the key considerations for optimizing billing for virtual care in primary care, ensuring you receive proper reimbursement for your services. secure messaging).

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Medisys Compliance

JULY 11, 2023

The complexities involved in medical billing, coupled with the ever-evolving regulatory landscape, make it essential for radiation oncology providers to adopt best practices to optimize efficiency and maximize revenue. Keep track of updates, policy changes, and reimbursement rates to avoid billing errors and potential audits.

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Medisys Compliance

JULY 18, 2022

In the Balanced Budget Act of 1997, Congress mandated that payment for the majority of services provided to beneficiaries in a Medicare covered SNF stay be included in a bundled prospective payment made through the Part A Medicare Administrative Contractor (MAC) to the SNF. This practice created several problems. To summarize.

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Medical Billing Medicare Medicare Medical Billing Outsourcing 52

Medisys Compliance

JULY 25, 2023

In the first part of this article, we discussed various factors affecting E/M code selection i.e., history, examination, and medical decision-making. In the second part of this article, we will review alternative billing methods such as billing based on time, incident-to-billing for staff services, and billing for consultations.

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