Medisys Compliance

MARCH 5, 2024

Payer Audits and Reimbursement Challenges in Cardiology Billing Common Challenges in Cardiology Billing Coding Complexity: Cardiology procedures often involve multiple components and intricacies that require accurate coding to reflect the level of service provided.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

APRIL 11, 2022

Billing for Ambulatory Surgery Centers (ASCs) is tightly regulated by numerous federal as well as state-level regulatory authorities. Complete documentation will support all procedure codes your billed and will provide complete picture for payers. Pre-operative medical record documentation. Discharge documentation.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Informed Consent Nurses 52

Medisys Compliance

JUNE 14, 2023

Utilizing comprehensive practice management software that integrates insurance eligibility verification and automated claims processing can streamline the billing process and improve revenue collection. Regulatory Compliance Another significant challenge in medical billing is ensuring compliance with the complex web of healthcare regulations.

Medical Billing 52

Medical Billing Medical Billing Services Medical Billing Outsourcing Regulatory Compliance 52

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. ASCs must stay current on healthcare regulations that affect billing. Compliance is the foundation of ethical and responsible ASC billing.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. Let us discuss the top compliance issues in the medical billing industry, shall we? companies operating internationally.

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Medisys Compliance

MAY 4, 2023

This can be challenging due to the complex nature of cancer treatment and the need for precise documentation. Regulatory compliance: Oncology practices must comply with various regulatory requirements, including HIPAA, CMS, and payer-specific guidelines. Compliance failures can result in penalties and fines.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 52

Medisys Compliance

AUGUST 24, 2022

Are you tired of looking at your billing and are stuck in the rut of managing documents of medical billing? Is medical billing taking a toll on your practice and in turn hovering over the reimbursements? Both patients and doctors may find the billing procedure to be very onerous.

Medical Billing 98

Medical Billing Medical Billing Services Doctors Medical Billing Outsourcing 98

Medisys Compliance

APRIL 26, 2024

Essential Considerations for Accurate Outpatient Billing Accurate Documentation: Detailed and clear physician documentation is vital for accurate coding. Documentation should reflect the history of present illness, review of systems, medical decision-making, physical examination findings, and assessment/plan.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

OCTOBER 20, 2023

Technology Integration: Billing software and electronic health record (EHR) systems can streamline processes and reduce human errors in emergency medical specialists billing. Thorough Documentation: Comprehensive and accurate documentation is the cornerstone of proper coding and billing.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

Medisys Compliance

APRIL 12, 2023

They must also stay up-to-date with constantly changing coding requirements and maintain accurate documentation. This can be challenging due to the breadth of services provided by family practice providers and the need to code for a wide range of diagnoses and procedures.

Medical Billing 52

Medical Billing Medical Billing Services Medical Billing Outsourcing Compliance 52

Medisys Compliance

JANUARY 11, 2024

Documentation Burden Detailed documentation is crucial for supporting claims and ensuring compliance with regulations. Proper medical terminology and abbreviations. The time and resources required for this meticulous documentation add significantly to the overall cost. Treatment plans and justifications.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

APRIL 8, 2024

Precise Coding: Utilize the latest versions of ICD-10 (diagnosis codes) and CPT (procedure codes) to ensure accurate representation of services rendered. Detailed Documentation: Maintain clear and concise medical records that document the patient’s condition, treatment plan, and medical necessity for services.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

DECEMBER 1, 2023

However, the complexities of wound care coding often lead to billing errors, potentially resulting in claim denials, financial losses, and even legal repercussions. Understanding Wound Care Coding Audits Wound care coding audits are comprehensive assessments of a healthcare provider’s wound care billing and coding practices.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JANUARY 4, 2024

This article equips primary care providers with the latest knowledge and technical expertise to navigate the process seamlessly, maximizing new patient visit billing accuracy and minimizing compliance risks. Required Documentation Solid medical documentation is your armor against denials and audits.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 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 Medicaid Medicaid Telemedicine 52

Medisys Compliance

FEBRUARY 13, 2024

In progress notes, document session duration, interventions, and treatment plan goals. When family members are involved, utilize specific code modifiers (-96, -97) and submit detailed clinical documentation demonstrating medical necessity. Ensure informed consent is obtained for treatment and billing practices.

Medical Billing Outsourcing 69

Medical Billing Outsourcing Informed Consent Medical Billing Compliance 69

Medisys Compliance

MARCH 10, 2024

However, billing for telehealth services involves navigating complex regulations and payer policies. Understanding the requirements for telehealth reimbursement and documenting services appropriately are crucial aspects of successful billing in this evolving landscape.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Nurses 59

Medisys Compliance

MARCH 7, 2024

Consequently, staying informed about these updates is imperative for healthcare professionals to accurately document and bill for services rendered. These changes reflect emerging procedures, innovative technologies, and revisions to existing medical practices.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance Compliance 59

Medisys Compliance

OCTOBER 18, 2023

Following are some guidelines to follow when using this procedure code: Correctly identify the service: Ensure that the service being coded is the interpretation and report of an EKG, not the performance of the EKG test itself. Ensure accurate documentation: Accurate documentation is crucial for proper coding and billing.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 59

Medisys Compliance

APRIL 16, 2024

While seemingly straightforward, complexities arise due to insurance regulations and documentation requirements. Ensure impeccable documentation reflects the exact start and end times, excluding administrative tasks. Medical Necessity: Justify why a 60-minute session is necessary.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

NOVEMBER 8, 2023

Regulations and Compliance State Regulations: State regulations regarding telehealth services can vary significantly. Mental health providers must stay up-to-date with their state’s specific telehealth regulations and ensure compliance with them. This includes licensure, scope of practice, and billing rules.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

OCTOBER 17, 2022

Any underpayments can be discovered at the correct time by checking the payments received from all insurers and comparing them to the bills submitted. Early discovery can help with timely claim submission or document rectification, which can result in full payout by the insurers.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services HIPAA 98

Medisys Compliance

MARCH 8, 2023

Need of Internal Audit in Wound Care Medical billing and coding audits are an essential part of the revenue cycle management process for any healthcare provider, including those who specialize in wound care. Auditors should ensure that billing practices are in compliance with these rules and regulations.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Compliance Medicare 52

Medisys Compliance

NOVEMBER 23, 2023

Incomplete or Inconsistent Documentation Incomplete or inconsistent documentation can impede proper coding and lead to claim denials. Clear and concise procedure descriptions: Clearly document the type of radiology procedure performed, including the specific views, sequences, and any contrast materials used.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Fraud 59

Medisys Compliance

APRIL 25, 2024

Documentation: Thorough and detailed documentation in your patient notes becomes even more important as it supports the quality measures you report. We offer a comprehensive suite of services designed to streamline MACRA compliance.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

MAY 7, 2024

Mental health providers often deal with a diverse range of services, including therapy sessions, psychiatric evaluations, and assessments, each requiring accurate coding and documentation. Stay Updated with Regulatory Changes: Compliance with evolving healthcare regulations is critical.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance HIPAA 59

Medisys Compliance

OCTOBER 12, 2023

Document the therapeutic interventions and progress made during the extended session to support medical necessity. Document the therapeutic interventions and progress made during the extended session to support medical necessity. Clearly document the therapeutic work done during the session, including goals and outcomes.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JANUARY 9, 2024

Documentation Matters: Ensure your medical records are clear, concise, and complete. So ditch the denials and let Medisys handle the billing, while you focus on what you do best – delivering exceptional patient care. The Pillars of Success Accuracy is King: Double-check everything!

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

JANUARY 21, 2024

Documentation Requirements: Documentation demands could increase to justify new services and comply with parity mandates. Payer Audits and Scrutiny: Payers may initially scrutinize claims for new services more closely. Maintain meticulous documentation and stay updated on evolving billing guidelines to reduce audit risks.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

JANUARY 31, 2024

Choose specific codes that accurately reflect the services provided, duration, and complexity (e.g., Time flies, but track it accurately: Be meticulous about documenting session duration. Billing for longer sessions than documented, or vice versa, is a red flag. Vague or incomplete notes raise red flags.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

NOVEMBER 3, 2022

The billing team did not follow up with the address denials. Lack of document filing and scanning techniques resulted in no record collections. You can choose the level of support your office needs from our range of medical billing services for radiology practices , whether you need assistance regularly, occasionally, or occasionally.

Medical Billing Services 98

Medical Billing Services Medical Billing Outsourcing Medical Billing Compliance 98

Medisys Compliance

AUGUST 26, 2022

Maintain accurate records of your patients: To assist clinicians in streamlining patient record documentation, CMS announced a number of modifications to E/M documentation beginning in 2019.

Medical Billing 98

Medical Billing Medical Billing Services Medical Billing Outsourcing Doctors 98

Medisys Compliance

JANUARY 17, 2023

Maintaining compliance with the ongoing regulatory changes and payer-specific adjudication rules or payment processing criteria is challenging, if not downright impossible. To make the best use of their time, the medical billing services staff will employ the most recent version of their software. Conforming to HIPPA.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 52

Medisys Compliance

JUNE 26, 2023

Efficient billing processes help identify and bill for all services rendered, reducing the risk of lost revenue. Compliance and Documentation: Mental health billing involves compliance with complex insurance regulations and documentation requirements.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Compliance HIPAA 52

Medisys Compliance

APRIL 1, 2024

Documentation Requirements: Maintain thorough documentation of the telehealth encounter, including the communication method (video, audio-only, etc.), Patient Consent: Ensure patients have consented to receiving telehealth services and understand potential billing implications. duration, and the nature of the visit.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

Medisys Compliance

JULY 11, 2023

This article explores the key strategies and best practices for radiation oncology billing, highlighting the importance of compliance, documentation, coding accuracy, and effective revenue cycle management. Best Practices for Radiation Oncology Billing 1.

Medical Billing 40

Medical Billing Medical Billing Outsourcing Compliance Medicaid 40