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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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

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

Healthcare IT Today

FEBRUARY 22, 2023

There’s widespread consensus that payments to Medicare Advantage Organizations (MAOs) are a mess. These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees , operate on the cutting edge of health care and suffer serious problems in data collection and billing.

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Medicare Medicare Overpayments Overpayment 88

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

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

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

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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Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 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.

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

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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

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

Healthcare IT Today

SEPTEMBER 24, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School.

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Medical Billing Department of Veterans Affairs Medicare Medicare 111

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

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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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

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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Medicare Medicare Medical Billing Outsourcing Health Outcomes 52

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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Medical Billing Outsourcing Medical Billing Compliance Governance 105

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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Medicare Medicare Medical Billing Outsourcing Medical Billing 52

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

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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Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 64

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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Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

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

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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Compliance Medical Billing Outsourcing Medicare Medicare 59

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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Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

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).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Informed Consent 59

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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Payment Systems Medical Billing Medicare Medicare 52

Medisys Compliance

APRIL 22, 2022

In the Medicare Physician Fee Schedule final rule issued in November 2021, the Centers for Medicare and Medicaid Services (CMS) added four new CPT codes (99424, 99425, 99426, and 99427) in the category of Principal Care Management (PCM) to replace the two previous PCM codes (HCPCS codes G2064 and G2065).

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

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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Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

FEBRUARY 26, 2024

In this article, we’ll explore the concept of bundled payments and episode based billing in cardiology care, their implications for providers, and strategies for success in this evolving reimbursement paradigm. Contact Medisys to learn more about cardiology billing services.

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

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Medical Billing Outsourcing Medical Billing Medicare Medicare 64

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

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

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicaid 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. Emerging Trends in Emergency Medical Billing The landscape of emergency medical billing is ever-evolving.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

Medisys Compliance

MAY 2, 2024

This article discusses about the various payment models for chronic wounds, aiming to empower wound care providers with the knowledge and insights needed to navigate this evolving landscape. Medisys , a leading provider of medical billing services, can be your trusted partner.

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Medical Billing Outsourcing Medical Billing Services Medical Billing Patient Satisfaction 59

Medisys Compliance

AUGUST 8, 2022

In this article, we shared billing guidelines for anesthesia payment at personally performed rate and calculation of anesthesia time units. We referred Medicare billing guidelines from Medicare claims processing manual chapter 12.50 Reference: Medicare Claims Processing Manual Chapter 12.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Jane Sarashon

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

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ACA Prescription Drug Pricing Health Insurance Hospitals 113