Medisys Compliance

MARCH 21, 2025

Accurately understanding physical therapy billing units is crucial for healthcare providers to ensure proper reimbursement and compliance. But behind every effective treatment plan is the challenge of accurate documentation and billing. Under this rule: You must provide at least 8 minutes of a timed service to bill one unit.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medicare Medicare 59

Medisys Compliance

APRIL 21, 2025

Thats why understanding the ins and outs of medical billing for physical therapy is critical not just for compliance, but also for sustaining your business. For example, therapeutic exercise (97110) is a timed code, while hot/cold pack therapy (97010) is untimed and billed only once per session.

Medical Billing 59

Medical Billing Medicare Medicare Medical Billing Outsourcing 59

Medisys Compliance

DECEMBER 24, 2024

Medicare Reimbursement Medicare covers teletherapy under specific guidelines: Eligible Providers: Includes licensed clinical social workers (LCSWs), clinical psychologists, and other licensed professionals. Check state-specific Medicaid guidelines to ensure compliance. the patients location or the use of specific technology).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

MAY 7, 2025

Cardiology is one of the most complex medical specialties when it comes to billing and coding. From diagnostic procedures like EKGs to interventional treatments such as stent placements, every service must be coded with accuracy to ensure timely reimbursement and compliance. Which CPT codes are used in cardiology?

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Compliance 59

Medisys Compliance

DECEMBER 30, 2024

While its therapeutic benefits are well-recognized, the process of billing for CBT can be complex and often confusing for mental and behavioral health providers. This article serves as a detailed guide for providers, addressing key aspects of CBT billing to ensure compliance, accuracy, and maximize reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare 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

JANUARY 30, 2025

Insurance verification plays a crucial role in radiology billing, as it directly impacts reimbursement rates, claim approvals, and patient satisfaction. Radiology services often involve high-cost procedures, making accurate insurance verification essential to reduce denials and maintain compliance with payer requirements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Patient Satisfaction 59

Medisys Compliance

APRIL 15, 2025

Partnering with billing companies in USA provides access to this specialized knowledge. Complex and Varying Payer Rules: Each insurance company (private, Medicare, Medicaid) has its own unique set of rules, policies, and submission requirements, making it challenging to ensure compliance and avoid claim denials.

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Compliance 59

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

OCTOBER 1, 2022

Navigating through the complex medicare guidelines can be a complex and overwhelming task, however, here is the good news, the entire process is merely about using the right CPT codes. However, one needs to be careful while billing as Medicare follows strict rules and regulations for time increments.

Medicare 98

Medicare Medicare Medical Billing Outsourcing Medical Billing 98

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. If you need any assistance in billing for Medicare, contact us at info@medisysdata.com/ 302-261-9187.

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

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

DECEMBER 23, 2022

The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Medicare reimbursement for telehealth services. Principles of PFS.

Medicare 98

Medicare Medicare Medical Billing Medical Billing Outsourcing 98

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

MARCH 5, 2024

Understanding the Landscape of Cardiology Billing Cardiology billing encompasses a wide range of services, including diagnostic testing, interventional procedures, and ongoing patient care.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

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 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

FEBRUARY 10, 2025

This guarantees compliance and appropriate reimbursement. About Medisys Data Solutions (MDS) At Medisys , we specialize in simplifying billing for mental health providers. With our in-depth understanding of Medicare policies, CPT coding, and compliance standards, we ensure accurate claims submissions and maximize your reimbursements.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

NOVEMBER 26, 2024

Skilled Nursing Facility (SNF) billing compliance is a critical aspect of healthcare revenue cycle management, ensuring accurate reimbursement and adherence to Medicare regulations. This article covers the essentials of SNF billing compliance, including processes, guidelines, exclusions, and practical tips for providers.

Compliance 52

Compliance Medical Billing Outsourcing 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

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

APRIL 8, 2025

CMS Guidelines The Centers for Medicare & Medicaid Services (CMS) plays a significant role in laboratory billing. Documentation Requirements Proper documentation is crucial to support the medical necessity and accuracy of laboratory billing.

Medical Billing Outsourcing 52

Medical Billing Outsourcing COVID-19 Medical Billing Medicare 52

Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. While accurate billing ensures fair reimbursement and uninterrupted patient care, billing mistakes can have significant consequences, leading to financial losses, claim denials, and even penalties.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

FEBRUARY 16, 2025

This transition is reshaping medical billing, placing a greater emphasis on patient outcomes rather than service volume. As providers navigate this new landscape, understanding the implications of VBC on medical billing is crucial to ensuring compliance, efficiency, and financial stability.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Patient Satisfaction Payment Systems 59

Medisys Compliance

JULY 5, 2022

What is Medicare Overpayment? A Medicare overpayment exceeds regulation and statute properly payable amounts. When Medicare identifies an overpayment, the amount becomes a debt a healthcare provider owes the federal government. Based on this new information, CMS takes action to recover the mistaken Medicare payment.

Overpayment 52

Overpayment Overpayments Medicare Medicare 52

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, 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.

Medicare 59

Medicare Medicare Medical Billing Outsourcing COVID-19 59

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

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

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

JULY 26, 2022

Hospital administrators, physicians, and members of every healthcare office billing department know that if their practice or hospital provides services to Medicare patients, they must be prepared to potentially receive a request for an audit. Prepare for a Medicare Audit. Responding to an Audit Request.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

SEPTEMBER 29, 2022

Your medical billing outsourcing partner takes care of the same in a hassle-free manner. ICD-10, CPT, and HCPCS coding certification training for medical billing and coding software. Understanding of insurance policy rules, particularly those relating to Medicare. Wrapping up. What are you waiting for?

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Medicare Medicare 98

Medisys Compliance

FEBRUARY 18, 2025

Audio-Only (Phone) Sessions During the public health emergency, many payers, including Medicare, expanded coverage to include audio-only telehealth for behavioral health. The post Potential 2025 Behavioral Health Billing Changes to Watch For appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Licensing Medical Billing Patient Satisfaction 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

JUNE 7, 2022

Defining Medicare Secondary Payer (MSP). Medicare Secondary Payer (MSP) is the term generally used when the Medicare program does not have primary payment responsibility i.e., when another entity has the responsibility for paying before Medicare. When Medicare Pays First. Primary payers must pay a claim first.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

JULY 25, 2022

Recently published watchdog report found that private Medicare plans routinely rejected claims that should have been paid and denied services that reviewers found to be medically necessary. For detailed understanding we shared observations of OIG where they found that some of the claims were wrongly denied by private Medicare plans.

Medicare 52

Medicare Medicare US Department of Health and Human Services Medical Billing Outsourcing 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