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

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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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

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. Definition of ‘Originating Sites’.

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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. Cost-sharing.

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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. Medicare Coverage. American Medical Association. All Rights Reserved. Reference: [link].

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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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Medisys Compliance

MAY 17, 2024

By implementing the tips outlined above, mental health practices can ensure they receive fair compensation for the vital services they provide, ultimately allowing them to focus on delivering quality care to their patients.

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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

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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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 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

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

FEBRUARY 27, 2024

Introduction Radiology billing compliance is a critical aspect of managing a successful radiology practice. With a myriad of regulations and the potential for audits looming, radiologists and billing staff need to have a solid understanding of compliance requirements.

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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

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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Medisys Compliance

OCTOBER 20, 2023

However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations. Reimbursement is based on contract agreements and fee schedules.

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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

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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Medisys Compliance

MARCH 14, 2023

Whatever might be healthcare facility, it’s important to get accurately reimbursed for wound care services. In this article, we shared wound care reimbursements in certain healthcare facilities. The MPFS is a payment system that reimburses healthcare providers for services rendered to Medicare patients in an outpatient setting.

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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. Contact Medisys today at 888-720-8884 / info@medisysdata.com to learn more about our urology billing services and how we can help your practice thrive. What is RIAS?

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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

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

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

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. Subscribe to coding updates: The American Medical Association regularly updates CPT codes. Stay informed through their website or professional organizations.

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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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Medisys Compliance

FEBRUARY 21, 2024

However, improper use of this code can lead to billing errors and potential compliance issues. This article aims to provide OB/GYN providers with a comprehensive understanding of CPT code 59400 and strategies to avoid common billing pitfalls associated with its usage.

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Medisys Compliance

APRIL 25, 2022

In this article, we shared key parameters that will help you to reduce accounts receivable for your practice. Medisys Data Solutions is a leading medical billing company providing billing and coding services for various medical billing specialities.

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Medisys Compliance

JULY 27, 2023

That’s why we’re here to offer our comprehensive medical billing and coding services tailored specifically to meet the needs of healthcare providers in Kentucky. In this article, we provide detailed answers to common questions asked by healthcare professionals regarding medical billing in Kentucky.

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Medisys Compliance

FEBRUARY 5, 2024

However, billing practices in ASCs, particularly for primary care physicians (PCPs) involved in patient care, can be intricate and nuanced. This article aims to shed light on this specific aspect, guiding PCPs through the complexities of ASC primary care physicians billing and highlighting key considerations for successful navigation.

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Medisys Compliance

DECEMBER 29, 2023

Introduction The realm of cardiology encompasses a vast array of specialized services and procedures, demanding precise documentation and accurate coding for proper reimbursement. This article serves as a detailed guide, unpacking the details of this CPT code range 92920-93793 and its applications within cardiology billing.

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Medisys Compliance

MARCH 16, 2022

In this article, we shared some basic tips which will help in creating a strong financial structure for your practice. Medisys Data Solutions is a leading medical billing company providing complete medical billing services for your practice. Forecast Practice Collection.

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Medisys Compliance

APRIL 15, 2024

The good news is that staying informed about the latest Current Procedural Terminology (CPT) code updates can help ensure your practice receives proper reimbursement for services rendered. 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

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. Payer Policies: Private insurance companies, Medicaid, and Medicare have varying policies regarding telehealth reimbursement.

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Medisys Compliance

JULY 10, 2023

As mental health services continue to evolve, it is crucial for mental health professionals and billing specialists to have a thorough understanding of the modifiers used in mental health billing. It is similar to the 95 modifier and is used to ensure proper billing and reimbursement for telehealth services under Medicare.

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Medisys Compliance

OCTOBER 18, 2023

Following are some practical tips to help you streamline your billing and coding processes for this important procedure code: Stay Updated with Coding Guidelines: Regularly review the latest coding guidelines and updates from reliable sources such as the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS).

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Medisys Compliance

FEBRUARY 4, 2022

An AD appoints an agent and/or records the person’s wishes about their medical treatment based on their values and preferences. In this article we discussed about coding guidelines for Advance Care Planning (ACP) for better insurance reimbursements. CPT codes, descriptions and other data are copyright 2020 American Medical Association.

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