Medisys Compliance

APRIL 25, 2025

For practices feeling this pressure, partnering with specialized pathology billing companies offers a strategic solution, promising enhanced efficiency, improved cash flow, and robust compliance in the challenging healthcare landscape of 2025. Scalable Staffing Solutions: Outsourcing provides flexibility.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicare 59

Medisys Compliance

APRIL 8, 2025

Psychiatric billing services play a crucial role in ensuring that mental health providers receive timely and accurate reimbursement for their services. To maintain financial stability and focus on patient care, psychiatric professionals must have an efficient billing process in place. Some psychiatric services require modifiers (e.g.,

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance HIPAA 59

Medisys Compliance

APRIL 29, 2025

Cardiology coding is a highly specialized area of medical billing that demands deep understanding of cardiovascular procedures, diagnostic services, and corresponding coding systems. Maintaining Compliance: Prevents over-coding or under-coding issues, ensuring adherence to CMS, payer, and federal guidelines.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicare 59

Medisys Compliance

MARCH 19, 2025

Why Radiology Billing Matters In the complex landscape of healthcare, radiology practices play a pivotal role in diagnosis and treatment. However, the financial health and compliance of these practices are heavily reliant on accurate and efficient radiology billing.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

MARCH 18, 2025

Our Behavioral & Mental Health Billing Services Process Medisys follows a streamlined, end-to-end billing process that simplifies revenue cycle management for outpatient mental and behavioral health providers. Our approach ensures accuracy, compliance, and efficiency at every step. Ready to streamline your billing process?

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medical Billing HIPAA 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.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. Understanding these updates is crucial for behavioral health providers to ensure compliance, maximize reimbursements, and continue delivering high-quality care.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

FEBRUARY 24, 2025

Understanding modifier application can optimize your group therapy billing. Reimbursement rates for CPT code 90853 in group therapy billing vary significantly. Factors influencing reimbursement include the payer type ( Medicare , Medicaid, commercial insurance), geographic location, and specific contract agreements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

MARCH 5, 2024

Compliance Risks: Cardiologists must stay abreast of evolving regulatory requirements and compliance standards to avoid penalties or audits related to fraudulent billing practices.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

APRIL 19, 2023

The Medicaid program in Florida provides medical services and assistance to low-income individuals and families. To participate in the Medicaid program, healthcare providers must meet several general requirements set forth by the Agency for Health Care Administration (AHCA).

Medicaid 52

Medicaid Medicaid Medical Billing Outsourcing Licensing 52

Medisys Compliance

MARCH 31, 2023

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

Medicaid 52

Medicaid Medicaid Licensing Medical Billing Outsourcing 52

Medisys Compliance

APRIL 24, 2024

PHI includes any information that can be used to identify a patient and their health condition, such as Name; Address; Date of birth; Social Security number; Diagnosis; Treatment records; Medication history; and Mental health notes. Why is HIPAA Important for Behavioral Health? Many individuals with behavioral health conditions face stigma.

HIPAA 59

HIPAA Compliance Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

MARCH 24, 2025

Unlike traditional primary care, urgent care centers handle a mix of walk-in patients with varying levels of acuity, which creates a complex billing environment. Efficient billing ensures your urgent care facility gets reimbursed accurately and promptly. Frequently Asked Questions (FAQs) 1. What is the POS for urgent care?

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

MAY 22, 2024

Accurate and Efficient Billing: We ensure your claims are submitted accurately and promptly to maximize reimbursements. Reduced Administrative Burden: Free up your valuable time to focus on patient care by delegating billing tasks to our experts.

Compliance 59

Compliance Medical Billing Services Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

NOVEMBER 6, 2023

Introduction Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.

Compliance 59

Compliance Medical Billing Outsourcing Medical Billing ACA 59

Medisys Compliance

APRIL 8, 2025

CMS Guidelines The Centers for Medicare & Medicaid Services (CMS) plays a significant role in laboratory billing. Implementing regular internal audits: Conducting periodic internal audits of your coding and billing practices can help identify and correct potential errors before they lead to claim denials or compliance issues.

Medical Billing Outsourcing 52

Medical Billing Outsourcing COVID-19 Medical Billing Medicare 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 Telemedicine 52

Medisys Compliance

MARCH 12, 2025

Cardiology practices frequently interact with a diverse landscape of payers – from Medicare and Medicaid to a multitude of commercial insurance companies. Explore how Medisys specialized cardiology billing solutions can streamline your revenue cycle and maximize your reimbursements. Contact us today!

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

MARCH 9, 2025

Best Practices for Medicare Mental Health Billing To ensure compliant and efficient Medicare billing, adhere to these best practices: Strictly Follow CMS Guidelines: Stay up-to-date with the Centers for Medicare & Medicaid Services (CMS) guidelines for behavioral health billing.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Services 59

Medisys Compliance

JULY 17, 2024

Whether you are an oncologist or an oncology biller, understanding these changes is vital for optimizing your billing practices and ensuring compliance with regulatory standards. Audit and Compliance: Conduct periodic audits to ensure compliance with the new guidelines. Key Changes in Coding Guidelines 1.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicare 59

Medisys Compliance

JANUARY 11, 2024

Audits: Increased scrutiny from Medicare and Medicaid for potential coding discrepancies. Documentation Burden Detailed documentation is crucial for supporting claims and ensuring compliance with regulations. Proper medical terminology and abbreviations. Regulatory updates and compliance requirements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. In 2024, several significant updates have been introduced that directly impact the billing processes for internal medicine.

Medicare 59

Medicare Medicare Medical Billing Outsourcing COVID-19 59

Medisys Compliance

JUNE 27, 2022

The Centers for Medicare and Medicaid Services (CMS) has announced a shift in its eligibility criteria for coverage of lung cancer screening using low-dose CT (LDCT), with implementation date of October 3 rd , 2022. CMS Announcement for Revised Coverage. MLN Document: Screening for Lung Cancer with Low Dose Computed Tomography (LDCT).

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Medisys Compliance

AUGUST 27, 2024

Overview of CPT Codes in Physical Therapy CPT codes are used to describe medical, surgical, and diagnostic services. Accurate coding ensures compliance and proper reimbursement. Regularly review updates from authoritative sources like the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Compliance 59

Medisys Compliance

APRIL 25, 2024

MIPS focuses on four key performance categories: Quality: This measures the quality of care you provide to your patients based on specific metrics established by the Centers for Medicare & Medicaid Services (CMS). 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

AUGUST 6, 2024

This article explores the various internal medicine billing services available for small practices and emphasizes the need for professional billing service providers to ensure financial stability and compliance. Here’s why specialized billing services are crucial: 1.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Patient Satisfaction Medical Billing Medicare 59

Medisys Compliance

MAY 1, 2025

However, billing radiology services accurately is a complex process that demands specialty-specific knowledge and constant vigilance. Billing errors can result in significant revenue loss, claim denials, compliance risks, and even audits. Proper coding ensures compliance and reimbursement. Examples include: M54.5:

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance Regulatory Compliance 59

Medisys Compliance

AUGUST 21, 2024

In 2024, the Centers for Medicare & Medicaid Services (CMS) introduced several crucial updates to radiation oncology billing guidelines. These changes affect coding, reimbursement, and compliance requirements, making it essential for providers to stay informed to maximize reimbursement and avoid penalties.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medicaid Medicaid 59

Medisys Compliance

JULY 31, 2024

As an oncologist or oncology billing specialist, understanding the minute details of maximizing reimbursement for immunotherapy is crucial. This guide explores the technical aspects of billing for immunotherapy to ensure optimal reimbursement while maintaining compliance. Ensure compliance with state-specific guidelines.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

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. Providers must understand these guidelines to ensure accurate claims submission, maximize reimbursement, and maintain compliance.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

Medisys Compliance

MARCH 27, 2024

Outsourcing eliminates these costs, allowing you to leverage a team of experts without significant upfront investment. Expertise in Regulatory Compliance: The regulatory landscape for healthcare billing is constantly evolving.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Regulatory Compliance Compliance 64

Medisys Compliance

JULY 23, 2024

Introduction Radiation oncology billing is a complex and evolving field that requires specialized knowledge to ensure accurate reimbursement and compliance with regulatory standards. As we move into 2024, providers need to be aware of several important updates and changes in radiation oncology billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Informed Consent Medical Billing 59

Medisys Compliance

MARCH 7, 2024

These changes reflect emerging procedures, innovative technologies, and revisions to existing medical practices. Healthcare professionals must familiarize themselves with these changes to avoid coding errors and ensure compliance with regulatory requirements.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance COVID-19 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

DECEMBER 10, 2024

Spine surgery billing is a critical component of revenue cycle management for practices specializing in neurosurgery and orthopedics. With detailed procedures, evolving payer guidelines, and highly specific CPT codes, accurate billing ensures optimal reimbursement and compliance. Missing this step can lead to denial.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance Medicaid 59

Medisys Compliance

AUGUST 1, 2024

This article explores the minor details of group therapy billing, providing practical guidance on code selection, modifier usage, bundling, and unbundling, time-based versus unit-based billing, prior authorization, and regulatory compliance. Prior Authorization Many payers require prior authorization for group therapy services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medical Billing Regulatory Compliance 59

Medisys Compliance

APRIL 1, 2024

Maximizing Reimbursement for Telehealth Services Stay Informed: Keep yourself updated on the latest telehealth billing regulations from Medicare, Medicaid, and private insurers. Partner with a Billing Specialist: Consider outsourcing your medical billing to a company experienced in telehealth coding and compliance.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59